DR. CONNIE L CALVERT (NPI# 1770757775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770757775 |
| Entity Type | Individual |
| Full Name | DR. CONNIE L CALVERT |
| Credential | DO |
| Practice Address |
725 Highland Ave Winston Salem NC 27101-4206 |
| Mailing Address |
115 Surrey Path Ct Winston Salem NC 27104-5037 |
| Practice Telephone | 3366078523 |
| Mailing Telephone | 3367607764 |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
160643 | NC | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
34009069 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
725 HIGHLAND AVE |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27101-4206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477544377 | Theresa Catherine Burgess | Psychiatry & Neurology | 725 Highland Ave, Suite 100, Winston Salem, NC 27101-4180 | 2005-10-31 |
| 1952873663 | Deshanna Johnson | Counselor | 725 Highland Ave, Winston Salem, NC 27101-4180 | 2018-12-19 |
| 1275021479 | Teresa Jo Harris | Licensed Practical Nurse | 725 Highland Ave, Winston Salem, NC 27101-4180 | 2018-04-24 |
| 1073001392 | Shavonna Ann Robinson | Licensed Practical Nurse | 725 Highland Ave, Winston Salem, NC 27101-4180 | 2018-04-23 |
| 1053863829 | Brianne Hawkins | Counselor | 725 Highland Ave, Suite 100, Winston Salem, NC 27101-4180 | 2016-10-27 |
| 1881052595 | Anna Harris | Counselor | 725 Highland Ave, Winston Salem, NC 27101-4180 | 2016-02-09 |
| 1174908545 | Nichole M Brown | Registered Nurse | 725 Highland Ave, Winston Salem, NC 27101-4180 | 2015-07-27 |
| 1528451721 | Jerry Myers | Counselor | 725 Highland Ave, Suite 100, Winston Salem, NC 27101-4180 | 2015-03-12 |
| 1326446089 | Meghan Rachel Stout | Counselor | 725 Highland Ave, Winston Salem, NC 27101-4180 | 2014-12-11 |
| 1326450024 | Daymark Recovery | Counselor | 725 Highland Ave, Winston Salem, NC 27101-4180 | 2014-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421876 | Annie Carolina Mccollum | Occupational Therapist | 3 S Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2020-09-09 |
| 1891321337 | Philippe Ayres | Personal Emergency Response Attendant | 475 Vine St., Bowman Gray Center for Medical Education, Winston-salem, NC 27101 | 2020-03-17 |
| 1497385595 | Aereil Moore | Counselor | 655 West 4th St, Winston Salem, NC 27101 | 2020-01-17 |
| 1619519428 | Brandi Melissa Decriscio | Nurse Practitioner | 1200 N Martin Luther King Jr Drive, Winston-salem, NC 27101 | 2019-10-14 |
| 1316502909 | Burke Street Chiropractic, Pllc | Chiropractor | 1016 Burke St., Winston-salem, NC 27101 | 2019-05-08 |
| 1790349728 | Nakia Carter | Counselor | 1o1o W. Northwest Boulevard, Winston-salem, NC 27101 | 2019-04-25 |
| 1003391251 | Hannah Fortwengler Rainey | Nurse Anesthetist, Certified Registered | Medical Center Blvrd, Winston-salem, NC 27101 | 2018-10-03 |
| 1750875928 | Susan Wilhelm Patterson | Nurse Practitioner | 1200 Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2018-06-20 |
| 1194228049 | Anjanette Gilley Benjamin | Counselor | 650 Highland Ave Ste 1000, Winston Salem, NC 27101 | 2018-03-16 |
| 1376054627 | Paulisha Da-shawna Mcintyre | Social Worker | 650 Highland Ave Ste 101, Winston Salem, NC 27101 | 2017-10-13 |
| Find all providers in zip 27101 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609317569 | Certus Psychiatry and Integrated Care Pllc | Psychiatry & Neurology | 1255 Creekshire Way, Suite 270, Winston Salem, NC 27103-3059 | 2017-03-12 |
| 1982142550 | Susmita Hazarika | Psychiatry & Neurology | 5092 Nottingham Place Ln, Apt 202, Winston Salem, NC 27106-4690 | 2017-02-03 |
| 1396165056 | Poonam Deshmukh | Psychiatry & Neurology | Wake Forest Medical Center Medical Center Blvd, Winston Salem, NC 27157-0001 | 2014-04-21 |
| 1912340324 | Derek Ayers | Psychiatry & Neurology | Medical Ceneter Blvd, Winston Salem, NC 27157-0001 | 2013-04-16 |
| 1427319698 | Jacquetta Melony Foushee | Psychiatry & Neurology | 140 Kimel Park Dr # 200, Winston Salem, NC 27103-6160 | 2012-06-05 |
| 1972737922 | Tayyba G Buttar | Psychiatry & Neurology | 3736 Old Vineyard Rd, Old Vineyard Behavioral Health Services, Winston Salem, NC 27284 | 2009-05-05 |
| 1912114513 | William Thomas Harris | Psychiatry & Neurology | 1010 W Northwest Blvd, Winston Salem, NC 27101-1105 | 2007-05-16 |
| 1093856395 | Barbara Ballow Lankton | Psychiatry & Neurology | 1066 West Fourth St, Winston Salem, NC 27101-2434 | 2007-02-09 |
| 1699828475 | Ashleybrook Clinic Pa | Psychiatry & Neurology | 1321 Ashleybrook Lane, Winston Salem, NC 27103-2918 | 2007-01-18 |
| 1205946050 | Lea Harrell Kirkland | Psychiatry & Neurology | 2990 Bethesda Place, Suite 601-a, Winston Salem, NC 27103 | 2006-08-30 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27101 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.