Individual provider Active NPI

Kellie Morris Tolin, MD

  • Psychiatry Physician
  • Raleigh, NC
National Provider Identifier
1851373765
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2006-00403 Issued in NC
Practice address
1500 Sunday Dr Ste 102
Raleigh, NC 27607-5151
Phone
(919) 322-2413
Fax
(919) 322-2416
NPI assigned
Nov 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2006-00403 NC Primary

Addresses

Primary practice location

1500 Sunday Dr Ste 102
Raleigh, NC 27607-5151

Mailing address

1500 Sunday Dr Ste 102
Raleigh, NC 27607-5151
Phone (919) 322-2413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090804000164 NC Practitioner - Psychiatry 4082767330 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Arkansas College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arman C Moshyedi MD PLLCGroup PAC ID 9931435070, 21 clinicians
Wake Psychiatry, PLLCGroup PAC ID 3870764079, 6 clinicians

Practice addresses (Care Compare)

1500 Sunday Dr
Suite 102
Raleigh, NC 27607-5151
Phone (416) 915-9100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2006-00403NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Psychiatry, PLLC Psychiatry CurrentSince Aug 1, 2011 Accepting new patients
Arman C. Moshyedi, MD, PLLC Psychiatry CurrentSince Jun 1, 2019 Accepting new patients
Greenbrook TMS Winston-Salem LLC PastSince Feb 7, 2018 Accepting new patients

Locations

1085 Tunnel Rd
Ste 301
Asheville, NC 28805

55 Vilcom Center Dr
Ste 135
Chapel Hill, NC 27514
Phone (919) 590-9126

1470 Environ Way
Chapel Hill, NC 27517
Phone (919) 951-0271

55 Vilcom Center Dr
Ste 230
Chapel Hill, NC 27514
Phone (919) 590-3530

6701 Carmel Rd
Ste 305
Charlotte, NC 28226
Phone (217) 502-3050

6224 Fayetteville Rd
Ste 105
Durham, NC 27713
Phone (919) 429-6190

1991 Fordham Dr
Ste 202
Fayetteville, NC 28304
Phone (910) 213-3324

603 Dolley Madison Rd
Ste 100
Greensboro, NC 27410
Phone (336) 632-3505

1931 New Garden Rd
Ste 108
Greensboro, NC 27410
Phone (336) 579-8400

701 Exposition Pl
Ste 201
Raleigh, NC 27615
Phone (919) 466-7540

1500 Sunday Dr
Ste 105
Raleigh, NC 27607

9208 Falls of Neuse Rd
Ste 120
Raleigh, NC 27615
Phone (984) 789-4738

1500 Sunday Dr
Ste 102
Raleigh, NC 27607
Phone (919) 322-2413

1500 Sunday Dr
Ste 200
Raleigh, NC 27607
Phone (919) 322-2413

1500 Sunday Dr
Ste 213
Raleigh, NC 27607
Phone (984) 789-4739

125 Ashleybrook Sq
Winston Salem, NC 27103
Phone (336) 632-3505

380 Knollwood St
Ste 330
Winston Salem, NC 27103
Phone (336) 778-3989

Interoperability endpoints

  • Direct secure messaging: kellie.tolin.1@18773.direct.athenahealth.com
  • Direct secure messaging: ktolin@direct.wakepsych.nchie.net
  • Direct secure messaging: greenbrooktmsnc.kellietolin@158836.advancedmd-direct.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1851373765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SUNDAY DR STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276075151",
            "telephone_number": "919-322-2413",
            "fax_number": "919-322-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SUNDAY DR STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276075151",
            "telephone_number": "919-322-2413",
            "fax_number": "919-322-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLIN",
        "first_name": "KELLIE",
        "middle_name": "MORRIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2006-00403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.