Individual provider Active NPI

Sierra Joanna Witte, DO

  • Child & Adolescent Psychiatry Physician
  • Concord, NC
National Provider Identifier
1861874133
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
2020-00590 Issued in NC
Practice address
380 Copperfield Blvd NE
Concord, NC 28025-2402
Phone
(704) 403-1800
NPI assigned
Jun 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2020-00590 NC
Child & Adolescent Psychiatry Physician 2084P0804X 2020-00590 NC Primary

Addresses

Primary practice location

380 Copperfield Blvd NE
Concord, NC 28025-2402

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

5427 Nc Highway 49 S
Ste 105
Harrisburg, NC 28075-7408
Phone (704) 454-7268

Other practice location 2

923 N 2nd St
Ste 105
Albemarle, NC 28001-3317
Phone (704) 403-1877

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address switte408974@CarolinasHealthcareSystem.direct-ci.com Atrium Health
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

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
I20200709003647 NC Practitioner - Psychiatry 4688097520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1090 NE Gateway CT NE
Concord, NC 28025-2927
Phone (704) 403-1311

200 Medical Park Dr
Concord, NC 28025-0933

380 Copperfield Blvd NE
Concord, NC 28025-2402
Phone (704) 403-1800

920 Church N St
Concord, NC 28025-2927
Phone (704) 403-3000

920 Church St N
Concord, NC 28025-2927
Phone (704) 403-3000

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Aug 1, 2020 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Psychiatry CurrentSince Aug 1, 2020 Accepting new patients

Locations

100 N 6th St
Ste 900A
Minneapolis, MN 55403

923 N 2nd St
Ste 105
Albemarle, NC 28001
Phone (704) 403-1877

200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740

380 Copperfield Blvd NE
Concord, NC 28025
Phone (704) 262-1800

5427 NC Highway 49 S
Ste 105
Harrisburg, NC 28075
Phone (704) 454-7268

Interoperability endpoints

  • Direct secure messaging: switte408974@carolinashealthcaresystem.direct-ci.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": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1861874133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 COPPERFIELD BLVD NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252402",
            "telephone_number": "704-403-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5427 Nc Highway 49 S",
            "address_2": "Ste 105",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "NC",
            "postal_code": "280757408",
            "country_code": "US",
            "telephone_number": "704-454-7268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "923 N 2nd St",
            "address_2": "Ste 105",
            "address_purpose": "LOCATION",
            "city": "Albemarle",
            "state": "NC",
            "postal_code": "280013317",
            "country_code": "US",
            "telephone_number": "704-403-1877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITTE",
        "first_name": "SIERRA",
        "middle_name": "JOANNA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2024-07-15",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2020-00590",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NC",
            "license": "2020-00590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "switte408974@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "380 Copperfield Blvd NE",
            "city": "Concord",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280252402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.