DR. AUDREY NICOLE ATKINSON PSYD
NPI 1417223124
Psychologist - Clinical in Davidson, NC

Q: What is Audrey Atkinson's NPI number?

The NPI number for Audrey Atkinson is 1417223124. It was assigned to this individual provider in the NPPES registry on March 27, 2012.

Q: What is Audrey Atkinson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Audrey Atkinson enrolled in Medicare?

No. Audrey Atkinson has opted out of Medicare through September 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Audrey Atkinson was last updated on October 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since March 27, 2012Opted out of Medicare · through Sep 16, 2027

903 NORTHEAST DR STE 102, DAVIDSON, NC 28036(980) 221-2113 Get Directions Write a Review

NPPES record last updated: October 16, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 16, 2017, Mar 31, 2017 (2 updates tracked since 2017).

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About Dr. Audrey Nicole Atkinson Psyd NPPES

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

DR. AUDREY NICOLE ATKINSON PSYD (NPI 1417223124) is an individual clinical provider in Davidson, North Carolina, licensed in North Carolina (4510) and active in the NPI registry since March 2012. She has opted out of Medicare through September 16, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1417223124

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. AUDREY NICOLE ATKINSONCredential: PSYD

Location Address903 NORTHEAST DR STE 102Davidson, NC 28036-7437

Mailing Address903 Northeast Dr Ste 102Davidson, NC 28036-7437 · (980) 221-2113

Phone(980) 221-2113

Sole ProprietorNo

Enumeration DateMarch 27, 2012

Last NPPES UpdateOctober 16, 20172 updates tracked since enumeration

✔ NPI 1417223124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NC · 4510

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologistTaxonomy 103T00000X

903 NORTHEAST DR STE 102, Davidson, NC 28036

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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, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Audrey Nicole Atkinson Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 16, 2019 through September 16, 2027.

Opt-Out Effective DateSeptember 16, 2019

Opt-Out In Effect ThroughSeptember 16, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28036 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$165.09 typical visit price

range $54.12 – $165.09

Typical copayment $41.27 (range $13.53 – $41.27)

Most-billed visit code 99205

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIN KLENDER NP

Nurse Practitioner (Psychiatric/Mental Health)

903 NORTHEAST DR STE 102
DAVIDSON, NC 28036

Mecklenburg County (704) 237-0752

MODERNDAY WELLNESS PLLC

Nurse Practitioner (Psychiatric/Mental Health)

903 NORTHEAST DR STE 102
DAVIDSON, NC 28036

Mecklenburg County (704) 737-9643

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 Audrey Atkinson's NPI number?

The NPI number for Audrey Atkinson is 1417223124. It was assigned to this individual provider in the NPPES registry on March 27, 2012.

Where is Audrey Atkinson located?

Audrey Atkinson practices at 903 Northeast Dr Ste 102, Davidson, NC 28036. The listed phone number is (980) 221-2113.

What is Audrey Atkinson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Audrey Atkinson enrolled in Medicare?

No. Audrey Atkinson has opted out of Medicare through September 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Audrey Atkinson accept?

Health plans from Blue Cross and Blue Shield of NC list Audrey Atkinson 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 Audrey Atkinson was last updated on October 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.