Individual provider Active NPI

Victor W Packard II, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hickory, NC
National Provider Identifier
1932292067
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5004021 Issued in NC
Practice address
327 1St Ave NW
Hickory, NC 28601-6122
Phone
(828) 695-5900
Fax
(828) 695-4256
NPI assigned
Oct 2, 2006
Last updated
May 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X RN0000098770 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3050 SC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5004021 NC Primary

Addresses

Primary practice location

327 1St Ave NW
Hickory, NC 28601-6122

Mailing address

327 1St Ave NW
Hickory, NC 28601-6122
Phone (828) 695-5900

Other practice location 1

391 Serpentine Dr
Suite 400
Spartanburg, SC 29303-3096
Phone (864) 560-7517

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160204002258 NC Practitioner - Nurse Practitioner 3274767009 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Mental Health Fund IncGroup PAC ID 2264498344, 19 clinicians

Practice addresses (Care Compare)

327 1St Ave NW
Hickory, NC 28601-6122
Phone (828) 695-5900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN0000098770TNMDAdult Psychiatric/Mental Health Registered Nurse
3050SCMDOccupational Therapist
5004021NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Physician Network LLC CurrentSince Oct 23, 2017 Accepting new patients
The Mental Health Fund Inc CurrentSince Apr 14, 2025 Accepting new patients
Outreach Management Services LLC CurrentSince Apr 10, 2020 Accepting new patients
The Mental Health Fund Inc CurrentSince Apr 14, 2025 Accepting new patients

Locations

1723 Armstrong Park Dr
Gastonia, NC 28054
Phone (704) 854-9828

327 1st Ave NW
Hickory, NC 28601
Phone 82869559002540

222 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 324-1950

200 Herlong Ave S
Ste C
Rock Hill, SC 29732
Phone (803) 323-2775

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4

Organizations & group practices 4

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1932292067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 1ST AVE NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286016122",
            "telephone_number": "828-695-5900",
            "fax_number": "828-695-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 1ST AVE NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286016122",
            "telephone_number": "828-695-5900",
            "fax_number": "828-695-4256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "391 Serpentine Dr",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293033096",
            "country_code": "US",
            "telephone_number": "864-560-7517",
            "fax_number": "864-560-7520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACKARD",
        "first_name": "VICTOR",
        "middle_name": "W",
        "name_suffix": "II",
        "credential": "APRN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "TN",
            "license": "RN0000098770",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "3050",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5004021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.