Individual provider Active NPI

Jeanne L Birdsong, MD

  • Psychiatry Physician
  • Wilmington, NC
National Provider Identifier
1982683587
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
200400300 Issued in NC
Practice address
311 N 2ND St
Suite 1
Wilmington, NC 28401-3995
Phone
(910) 763-3034
Fax
(910) 251-7859
NPI assigned
Jan 11, 2006
Last updated
Jan 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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 200400300 NC Primary

Addresses

Primary practice location

311 N 2ND St
Suite 1
Wilmington, NC 28401-3995

Mailing address

311 N 2ND St
Suite 1
Wilmington, NC 28401-3995
Phone (910) 763-3034

Other names 1

  • Lori Birdsong Professional name

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
I20050105000729 NC Practitioner - Psychiatry 8527016716 Practice locations: Wilmington, NC

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Jefferson Medical College of Thomas Jefferson University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

720 N 3Rd St
Suite 101
Wilmington, NC 28401-3474
Phone (910) 763-3034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200400300NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Wellness Services PC Past Accepting new patients
Jeanne Marshall PLLC PastSince Oct 1, 2023 Accepting new patients
New Hanover Community Health Center Incorporated Past Accepting new patients

Organizations & group practices 3

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1982683587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N 2ND ST",
            "address_2": "SUITE 1",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284013995",
            "telephone_number": "910-763-3034",
            "fax_number": "910-251-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N 2ND ST",
            "address_2": "SUITE 1",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284013995",
            "telephone_number": "910-763-3034",
            "fax_number": "910-251-7859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRDSONG",
        "first_name": "JEANNE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "200400300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "BIRDSONG",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.