PATRICK W TANKERSLEY LCMHC
NPI 1154416592
Counselor - Mental Health in Mocksville, NC
About Patrick W Tankersley Lcmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATRICK W TANKERSLEY LCMHC (NPI 1154416592) is an individual mental health provider in Mocksville, North Carolina, licensed in North Carolina (19116) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Patrick W Tankersley Lcmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Patrick Tankersley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mocksville, NC 27028
- Reassigned Medicare billing, North Carolina enrollment
- 207 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MOCKSVILLE, NC 27028
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Patrick Tankersley's NPI number?
The NPI number for Patrick Tankersley is 1154416592. It was assigned to this individual provider in the NPPES registry on October 3, 2006.
Where is Patrick Tankersley located?
Patrick Tankersley practices at 180 War Eagle Dr, Mocksville, NC 27028. The listed phone number is (336) 751-5921.
What is Patrick Tankersley's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Patrick Tankersley enrolled in Medicare?
Yes. Patrick Tankersley is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Patrick Tankersley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Tankersley reassigns Medicare benefits to Gaston Family Health Services, Inc. (Mocksville, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Patrick Tankersley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Patrick Tankersley accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC and Cigna Healthcare list Patrick Tankersley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Patrick Tankersley was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Patrick W Tankersley, LCMHC · NPI 1154416592
Mental Health provider in Mocksville, North Carolina. Individual provider, active in the CMS NPPES registry since October 3, 2006.
## Identity
- **NPI:** 1154416592 (Entity type: Individual)
- **Enumerated:** October 3, 2006
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 19116 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 180 WAR EAGLE DR, Mocksville, NC 27028-6151
- **Phone:** (336) 751-5921
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Gaston Family Health Services, Inc. (NPI 1417525999, Mocksville, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 15, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1154416592) · Data from the CMS NPPES public registry.