Organization Active NPI

Provia Healthcare

Doing business as Provia Centers

  • Psychiatry Physician
  • Durham, NC
National Provider Identifier
1871142885
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PROVIA HEALTHCARE
Doing business as
Provia Centers
Practice address
1803 Chapel Hill Rd Ste B
Durham, NC 27707-1149
Phone
(919) 627-8783
NPI assigned
Sep 11, 2019
Last updated
Mar 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Authorized official

Name
Harold Hong, MDNPI 1558537415
Title
Owner
Phone
(919) 308-0306

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

1803 Chapel Hill Rd Ste B
Durham, NC 27707-1149

Mailing address

1803 Chapel Hill Rd Ste B
Durham, NC 27707-1149

Other names 1

  • Provia Centers Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.proviacenters.com Other

National Provider Directory

National Provider Directory

Locations

1803 Chapel Hill Rd
Ste B
Durham, NC 27707
Phone (919) 627-8783

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1871142885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 CHAPEL HILL RD STE B",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277071149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 CHAPEL HILL RD STE B",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277071149",
            "telephone_number": "919-627-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIA HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-11",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "HONG",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-308-0306",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.proviacenters.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Patient portal",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "1803 Chapel Hill Rd Ste B",
            "city": "Durham",
            "state": "NC",
            "country_code": "US",
            "postal_code": "277071149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Provia Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.