EASTOVER PSYCHOLOGICAL & PSYCHIATRIC GROUP, PA
NPI 1366476681
Psychiatry & Neurology - Psychiatry in Charlotte, NC

Q: What is Eastover Psychological & Psychiatric Group, PA's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since July 11, 2006

3303 LATROBE DR, CHARLOTTE, NC 28211(704) 362-2663(704) 362-2836 Get Directions Write a Review

NPPES record last updated: May 2, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Eastover Psychological & Psychiatric Group, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTOVER PSYCHOLOGICAL & PSYCHIATRIC GROUP, PA (NPI 1366476681) is a healthcare organization registered as a psychiatry in Charlotte, North Carolina and active in the NPI registry since July 2006. The organization lists John Edward Humphrey, President, as its authorized official.

NPPES Registry Identity

NPI1366476681

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameEASTOVER PSYCHOLOGICAL & PSYCHIATRIC GROUP, PA

Location Address3303 LATROBE DRCharlotte, NC 28211-4851

Mailing Address3303 Latrobe DrCharlotte, NC 28211-4851 · (704) 362-2663 · Fax (704) 362-2836

Phone(704) 362-2663

Fax(704) 362-2836

Organization SubpartNo

Authorized OfficialJohn Edward HumphreyPresident · (704) 362-2663

Enumeration DateJuly 11, 2006

Last NPPES UpdateMay 2, 2011

✔ NPI 1366476681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

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.

3303 LATROBE DR, Charlotte, NC 28211

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Other Identifiers 1

Medicare ID-Type Unspecified2309936NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eastover Psychological & Psychiatric Group, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Eastover Psychological & Psychiatric Group, PA, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Richard Gellar, M.D.

Psychiatry

NPI 1497799126

3303 LATROBE DR
Charlotte, NC 28211

(704) 362-2663

✔ PECOS✔ Accepts MedicareSame address

David Massey, LCSW

Clinical Social Worker

NPI 1023028222

3303 LATROBE DR
Charlotte, NC 28211

(704) 362-2663

✔ PECOS✔ Accepts MedicareSame address

Bradley Reddick, M.D.

Psychiatry

NPI 1457361859

3303 LATROBE DR
Charlotte, NC 28211

(704) 362-2663

✔ PECOS✔ Accepts MedicareSame address

Steven Sutherland, M.D.

Psychiatry

NPI 1720098213

3303 LATROBE DR
Charlotte, NC 28211

(704) 362-2663

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Eastover Psychological & Psychiatric Group, PA's NPI number?

The NPI number for Eastover Psychological & Psychiatric Group, PA is 1366476681. It was assigned to this organization in the NPPES registry on July 11, 2006.

Where is Eastover Psychological & Psychiatric Group, PA located?

Eastover Psychological & Psychiatric Group, PA is located at 3303 Latrobe Dr, Charlotte, NC 28211. The listed phone number is (704) 362-2663.

What is Eastover Psychological & Psychiatric Group, PA's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Eastover Psychological & Psychiatric Group, PA enrolled in Medicare?

Yes. Eastover Psychological & Psychiatric Group, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eastover Psychological & Psychiatric Group, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Eastover Psychological & Psychiatric Group, PA. A 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 the clinician's services. The largest specialties are Psychiatry (3) and Clinical Social Worker (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Eastover Psychological & Psychiatric Group, PA accept?

Health plans from Blue Cross and Blue Shield of NC list Eastover Psychological & Psychiatric Group, PA 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 Eastover Psychological & Psychiatric Group, PA was last updated on May 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.