Individual provider Active NPI

Nadeem Akhtar, M.D.

  • Psychiatry Physician
  • Kernersville, NC
National Provider Identifier
1912914300
Registry record updated Feb 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
200201030 Issued in NC
Practice address
1635 NC Highway 66 S Ste 175
Kernersville, NC 27284-3855
Phone
(336) 993-6120
Fax
(336) 992-4811
NPI assigned
Aug 1, 2006
Last updated
Feb 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2018

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 200201030 NC Primary

Addresses

Primary practice location

1635 NC Highway 66 S Ste 175
Kernersville, NC 27284-3855

Mailing address

1635 NC Highway 66 S Ste 175
Kernersville, NC 27284-3855
Phone (336) 993-6120

Other practice location 1

725 Highland Ave
Winston Salem, NC 27101-4206
Phone (336) 607-8523

Other identifiers 1

IdentifierTypeStateIssuer
8913122MedicaidNC

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
I20050727000392 NC Practitioner - Psychiatry 8123056678 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1635 NC Hwy 66 S
Kernersville, NC 27284-3855

501 N Elam Ave
Greensboro, NC 27403-1118
Phone (336) 832-1000

509 E N Elam Ave
FL 3
Greensboro, NC 27403-1118
Phone (336) 832-1970

621 S Main St
Reidsville, NC 27320-5034

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H. Cone Memorial Hospital Operating Corporation Current Accepting new patients
Horizon Internal Medicine PLLC CurrentSince Feb 26, 2018 Accepting new patients
Alamance Regional Medical Center, Inc. CurrentSince Oct 17, 2022 Accepting new patients
Daymark Recovery Services, Inc. Psychiatry CurrentSince Feb 22, 2006 Accepting new patients
Community Connextions,Inc CurrentSince Dec 1, 2012 Accepting new patients
Keystone WSNC LLC Psychiatry CurrentSince Sep 17, 2018 Accepting new patients
Alamance Regional Medical Center, Inc CurrentSince Oct 17, 2022 Accepting new patients
Guilford County Community Connections, Inc. Psychiatry Past Accepting new patients
Armc Physicians Care, Inc. Psychiatry Past Accepting new patients
NC Elder Care PLLC PastSince Apr 1, 2023 Accepting new patients

Locations

138 Dublin Square Rd
Ste B
Asheboro, NC 27203
Phone (336) 610-1300

1236 Huffman Mill Rd
Ste 1500
Burlington, NC 27215
Phone (336) 586-3795

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

700 Walter Reed Dr
Greensboro, NC 27403
Phone (336) 832-9600

1380 Eastchester Dr
Ste 105
High Point, NC 27265
Phone (336) 610-1300

808 W English Rd
#101
High Point, NC 27262
Phone (336) 882-6549

1104A S Main St
Lexington, NC 27292
Phone (336) 300-8836

2129 Statesville Blvd
Salisbury, NC 28147
Phone (704) 633-3616

3637 Old Vineyard Rd
Winston Salem, NC 27104
Phone (336) 794-3550

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518652800000",
    "number": "1912914300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 NC HIGHWAY 66 S STE 175",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843855",
            "telephone_number": "336-993-6120",
            "fax_number": "336-992-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 NC HIGHWAY 66 S STE 175",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843855",
            "telephone_number": "336-993-6120",
            "fax_number": "336-992-4811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271014206",
            "country_code": "US",
            "telephone_number": "336-607-8523",
            "fax_number": "336-748-5438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AKHTAR",
        "first_name": "NADEEM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2018-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "200201030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8913122",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

Verify at the official NPI Registry.