Active NPI
James A Drury
- Child & Adolescent Psychiatry Physician
- Sebring, FL
National Provider Identifier
1982664595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- OS14634
- Practice address
- 4711 Pebble Beach Dr
Sebring, FL 33872-1735 - Phone
- (252) 340-0915
- NPI assigned
- Mar 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 9701737 | NC | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | OS14634 | FL | Primary |
Addresses
Primary practice location
4711 Pebble Beach Dr
Sebring, FL 33872-1735
Mailing address
1062 Lake Sebring Drive
Sebring, FL 33870-1426
Phone (863) 658-0116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2076034 | Other | NC | NC MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridges Behavioral Health Care | Past | Accepting new patients | |
| Insights Behavioral Health, LLC | Child & Adolescent Psychiatry | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Brick, NJ
- NPI 1821183765
-
- Psychiatry Physician
- Brick, NJ
- NPI 1922135490
Child & Adolescent Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646697600000",
"number": "1982664595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1062 LAKE SEBRING DRIVE",
"city": "SEBRING",
"state": "FL",
"postal_code": "338701426",
"telephone_number": "863-658-0116",
"fax_number": "863-471-6868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4711 PEBBLE BEACH DR",
"city": "SEBRING",
"state": "FL",
"postal_code": "338721735",
"telephone_number": "252-340-0915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRURY",
"first_name": "JAMES",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2022-03-08",
"certification_date": "2022-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NC",
"license": "9701737",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "FL",
"license": "OS14634",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC MEDICARE",
"identifier": "2076034",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sebring, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.