Individual provider Active NPI

Liza Gail Schaffner, MD

  • Psychiatry Physician
  • Wilmington, NC
National Provider Identifier
1861401531
Registry record updated Nov 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2014-02273 Issued in NC
Practice address
5808 Perennial LN
Wilmington, NC 28403-3585
Phone
(304) 677-4845
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 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 2014-02273 NC Primary

Addresses

Primary practice location

5808 Perennial LN
Wilmington, NC 28403-3585

Mailing address

5808 Perennial LN
Wilmington, NC 28403-3585
Phone (304) 677-4845

Other identifiers 2

IdentifierTypeStateIssuer
2848940MedicaidOH
3810006505MedicaidWV

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
I20221202002871 NC Practitioner - Psychiatry 6709883424 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rha Health Services IncGroup PAC ID 8426196072, 55 clinicians

Practice addresses (Care Compare)

1920 S 16TH St
Wilmington, NC 28401-6611
Phone (910) 632-2191

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014-02273NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rha Health Services Inc Current Accepting new patients
Rha Health Services Inc CurrentSince Jan 10, 2023 Accepting new patients
Che Behavioral Health Services of North Carolina, P.C Psychiatry CurrentSince Oct 19, 2022 Accepting new patients
Rha Health Services, Inc CurrentSince Jan 10, 2023 Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients
Integrated Geriatric Care PLLC Psychiatry Past Accepting new patients
Camden-Clark Physician Corporation Psychiatry PastSince Aug 1, 2014 Accepting new patients

Locations

211 Perimeter Center Pkwy NE
Ste 750
Atlanta, GA 30346

2015 Ayrsley Town Blvd
Ste 202
Charlotte, NC 28273
Phone (704) 727-7008

211 S Centennial St
High Point, NC 27260
Phone (336) 841-0143

1920 S 16th St
Wilmington, NC 28401
Phone (910) 632-2191

Organizations & group practices 8

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667692800000",
    "number": "1861401531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5808 PERENNIAL LN",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033585",
            "telephone_number": "304-677-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5808 PERENNIAL LN",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033585",
            "telephone_number": "304-677-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFFNER",
        "first_name": "LIZA",
        "middle_name": "GAIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2022-11-06",
        "certification_date": "2022-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2014-02273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2848940",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810006505",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.