Individual provider Active NPI

Yoni Nutovits, MD

  • Psychiatry Physician
  • Chapel Hill, NC
National Provider Identifier
1992379382
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
LL85969 Issued in SC
Practice address
77 Vilcom Center Dr Ste 300
Chapel Hill, NC 27514-1875
Phone
(984) 974-5217
Fax
(984) 974-3778
NPI assigned
May 19, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 321610 NC
Psychiatry Physician 2084P0800X LL85969 SC Primary

Addresses

Primary practice location

77 Vilcom Center Dr Ste 300
Chapel Hill, NC 27514-1875

Mailing address

169 Ashley Avenue
Room 202 Main Hospital Msc333
Charleston, SC 29425
Phone (561) 317-7654

Other practice location 1

169 Ashley Avenue
Room 202 Main Hospital MSC333
Charleston, SC 29425
Phone (843) 792-9888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20210907002457 SC Order and Referring Only - PsychiatryPractitioner - Psychiatry 3971909557

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
321610NCMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill PastSince May 7, 2024 Accepting new patients
University of North Carolina at Chapel Hill PastSince May 7, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ynutovits1158063@direct.unc.nchie.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1992379382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 ASHLEY AVENUE",
            "address_2": "ROOM 202 MAIN HOSPITAL MSC333",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29425",
            "telephone_number": "561-317-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 VILCOM CENTER DR STE 300",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141875",
            "telephone_number": "984-974-5217",
            "fax_number": "984-974-3778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "169 Ashley Avenue",
            "address_2": "Room 202 Main Hospital MSC333",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "29425",
            "country_code": "US",
            "telephone_number": "843-792-9888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUTOVITS",
        "first_name": "YONI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-19",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NC",
            "license": "321610",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "LL85969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.