Individual provider Active NPI

David Mbugua Gacengeci, MD

  • Psychiatry Physician
  • Raleigh, NC
National Provider Identifier
1942269592
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
200101550 Issued in NC
Practice address
1033 Dresser CT
Raleigh, NC 27609-7323
Phone
(919) 332-1641
NPI assigned
Mar 22, 2006
Last updated
Dec 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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 200101550 NC Primary

Addresses

Primary practice location

1033 Dresser CT
Raleigh, NC 27609-7323

Mailing address

12012 Warwickshire Way
Raleigh, NC 27613-6020
Phone (919) 332-1641

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
I20061016000168 NC Practitioner - Psychiatry 8921004920 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Garner Behavioral Hospital LLCGroup PAC ID 4981072238, 23 clinicians
Cedar Mount Behavioral Health PAGroup PAC ID 5193721199, 3 clinicians

Practice addresses (Care Compare)

3200 Waterfield Dr
Garner, NC 27529-7727
Phone (919) 502-1187

4320 Bland Rd
Raleigh, NC 27609-6125
Phone (919) 417-4322

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Jun 8, 2021 Accepting new patients
Garner Behavioral Hospital, LLC CurrentSince Feb 20, 2024 Accepting new patients
Roanoke Valley Health Services Inc Current Accepting new patients
Garner Behavioral Hospital, LLC Past Accepting new patients
Access 1 Medical PastSince Dec 23, 2024 Accepting new patients

Locations

3200 Waterfield Dr
Garner, NC 27529
Phone (919) 502-1187

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

1385 Medical Center Dr
Roanoke Rapids, NC 27870
Phone (252) 537-9176

250 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 308-9699

Organizations & group practices 6

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1942269592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12012 WARWICKSHIRE WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276136020",
            "telephone_number": "919-332-1641",
            "fax_number": "919-866-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 DRESSER CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097323",
            "telephone_number": "919-332-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GACENGECI",
        "first_name": "DAVID",
        "middle_name": "MBUGUA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "200101550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.