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RECON NEUROLOGY & PSYCHIATRY
NPI 1427769140
Psychiatry & Neurology - Neurology in Fayetteville, NC

Active since December 13, 2022CLIA Certified · 6 labs
1340 WALTER REED RD STE 202, FAYETTEVILLE, NC 28304(910) 504-3506(910) 504-3507 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 26, 2026, Jan 13, 2026, Sep 12, 2025 and 4 more (7 updates tracked since 2022).

About Recon Neurology & Psychiatry NPPES

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

RECON NEUROLOGY & PSYCHIATRY (NPI 1427769140) is a healthcare organization registered as a neurology in Fayetteville, North Carolina and active in the NPI registry since December 2022. The organization holds 6 active CLIA laboratory certificates, maintains 4 additional practice locations, and lists Lisa Hudson, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1427769140
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameRECON NEUROLOGY & PSYCHIATRY
Location Address1340 WALTER REED RD STE 202Fayetteville, NC 28304-4451
Mailing Address764 Walnut Knoll LnCordova, TN 38018-3113 · (901) 756-5565 · Fax (901) 156-5564
Phone(910) 504-3506
Fax(910) 504-3507
Organization SubpartNo
Authorized OfficialLisa HudsonCredentialing Coordinator · (910) 372-6172
Enumeration DateDecember 13, 2022
Last NPPES UpdateAugust 26, 20267 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1427769140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
1340 WALTER REED RD STE 202, Fayetteville, NC 28304
Open in Google Maps ↗

Secondary Practice Locations 4

Location 170 Memorial DrPinehurst, NC 28374-8707 · Phone (910) 348-1192 · Fax (910) 348-1193
Location 2401 79th Ave NMyrtle Beach, SC 29572-4310 · Phone (843) 948-1191 · Fax (843) 948-1192
Location 31357 Walter Reed Rd Ste 101Fayetteville, NC 28304-4417 · Phone (910) 504-3506 · Fax (910) 504-3507
Location 43656 Cape Center DrFayetteville, NC 28304-4406 · Phone (910) 504-3506 · Fax (910) 504-3507

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 AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Cigna Healthcare and more.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)

Recon Neurology & Psychiatry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

21

Medicare enrollment records show 21 clinicians reassign Medicare billing to Recon Neurology & Psychiatry, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Nurse Practitioner7
Psychiatry6
Clinical Social Worker4
Neurology4

Nearest to this location (20)

See all 21
Ngu Aung, M.D
Psychiatry
NPI 1760741961
1340 WALTER REED RD STE 202
Fayetteville, NC 28304
(910) 504-3506
✔ PECOS✔ Accepts MedicareSame address
Tara Brouse, PMHNP-BC
Nurse Practitioner
NPI 1518802420
1340 WALTER REED RD STE 202
Fayetteville, NC 28304
(910) 504-3506
✔ PECOS✔ Accepts MedicareSame address
Cheryl Dodson, DNP, APRN, PMHNP-BC
Nurse Practitioner
NPI 1386452837
1340 WALTER REED RD STE 202
Fayetteville, NC 28304
(910) 504-3506
✔ PECOS✔ Accepts MedicareSame address
Pamela Herbig Wall, PMHNP
Nurse Practitioner
NPI 1033386446
1340 WALTER REED RD STE 202
Fayetteville, NC 28304
(910) 504-3506
✔ PECOS✔ Accepts MedicareSame address
Marisa Kawabe
Clinical Social Worker
NPI 1821666140
1340 WALTER REED RD STE 202
Fayetteville, NC 28304
(910) 504-3506
✔ PECOS✔ Accepts MedicareSame address
Lindsey Szakasits, MD
Psychiatry
NPI 1831778919
1340 WALTER REED RD STE 202
Fayetteville, NC 28304
(910) 504-3506
✔ PECOS✔ Accepts MedicareSame address
Matthew Banks, DO
Neurology
NPI 1659772069
1357 WALTER REED RD STE 101
Fayetteville, NC 28304
(910) 504-3506
✔ PECOS✔ Accepts Medicare0.1 mi
Sheila Blanks, FNP
Nurse Practitioner
NPI 1184985335
1357 WALTER REED RD STE 101
Fayetteville, NC 28304
(910) 504-3506
✔ PECOS✔ Accepts Medicare0.1 mi
Felix Nwajei, MD PHD
Neurology
NPI 1376021279
1357 WALTER REED RD STE 101
Fayetteville, NC 28304
(910) 504-3506
✔ PECOS✔ Accepts Medicare0.1 mi
Jessica Fleishman
Clinical Social Worker
NPI 1679288260
711 EXECUTIVE PL FL 3
Fayetteville, NC 28305
(910) 615-3387
✔ PECOS✔ Accepts Medicare1.2 mi
Myranda-Lynn Body, LCSW
Clinical Social Worker
NPI 1417716283
716 EDGEHILL RD
Fayetteville, NC 28314
(910) 348-7213
✔ PECOS2.1 mi
Olyvia Ray, FNP-C, PMHNP-BC
Nurse Practitioner
NPI 1518526649
2817 ROCK MERRITT AVE
Fort Bragg, NC 28310
(910) 907-8922
✔ PECOS✔ Accepts Medicare10 mi
Rudi Mack, PMHNP
Nurse Practitioner
NPI 1881573855
70 MEMORIAL DR
Pinehurst, NC 28374
(910) 348-1192
✔ PECOS✔ Accepts Medicare32 mi
Elizabeth Monis, DO
Psychiatry
NPI 1750901484
70 MEMORIAL DR
Pinehurst, NC 28374
(910) 348-1192
✔ PECOS✔ Accepts Medicare32 mi
Harley Smoot, M.D.
Psychiatry
NPI 1316918493
70 MEMORIAL DR
Pinehurst, NC 28374
(910) 348-1192
✔ PECOS✔ Accepts Medicare32 mi
Natali Amaradasa, PMHNP-BC
Nurse Practitioner
NPI 1881000255
401 79TH AVE N
Myrtle Beach, SC 29572
(843) 948-1191
✔ PECOS✔ Accepts Medicare89 mi
Thomas Bainter, MD, MPH
Psychiatry
NPI 1386214948
401 79TH AVE N
Myrtle Beach, SC 29572
(843) 948-1191
✔ PECOS✔ Accepts Medicare89 mi
Bruce Lindsey, LISW
Clinical Social Worker
NPI 1700073129
401 79TH AVE N
Myrtle Beach, SC 29572
(843) 948-1191
✔ PECOS✔ Accepts Medicare89 mi
James Peveler, M.D.
Neurology
NPI 1265784409
200 PATEWOOD DR STE B350
Greenville, SC 29615
(864) 454-4500
✔ PECOS✔ Accepts Medicare193 mi
Andrew Holst, DO, LCSW
Psychiatry
NPI 1609114180
183 S ORANGE AVE
Newark, NJ 07103
(336) 430-7898
✔ PECOS471 mi
See all 21 clinicians

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

CLIA Laboratory Certificates CMS CLIA 6

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2351576

Recon Neurology & Psychiatry · Fayetteville, NC
Active · expires Sep 28, 2028
CLIA Number34D2351576
Laboratory TypePhysician Office
Certificate Effective DateSeptember 29, 2026
Certificate Expiration DateSeptember 28, 2028
Laboratory DirectorMatthew K. Bank
Laboratory Phone(910) 504-3506
Laboratory LocationRecon Neurology & Psychiatry3656 Cape Center Dr, Fayetteville, NC 28304
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2309874

Recon Neurology & Psychiatry · Fayetteville, NC
Active · expires Aug 21, 2028
CLIA Number34D2309874
Laboratory TypePhysician Office
Certificate Effective DateAugust 22, 2026
Certificate Expiration DateAugust 21, 2028
Laboratory DirectorMatthew K. Banks
Laboratory Phone(910) 504-3506
Laboratory LocationRecon Neurology & Psychiatry3656 Cape Center Dr, Fayetteville, NC 28304
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D2333119

Recon Neurology & Psychiatry · Myrtle Beach, SC
Active · expires Oct 29, 2027
CLIA Number42D2333119
Laboratory TypePhysician Office
Certificate Effective DateOctober 30, 2025
Certificate Expiration DateOctober 29, 2027
Laboratory DirectorMatthew K. Banks
Laboratory Phone(843) 948-1191
Laboratory LocationRecon Neurology & Psychiatry401 79th Avenue N, Myrtle Beach, SC 29572
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2273924

Recon Neurology & Psychiatry · Fayetteville, NC
Active · expires Dec 20, 2026
CLIA Number34D2273924
Laboratory TypePhysician Office
Certificate Effective DateDecember 21, 2024
Certificate Expiration DateDecember 20, 2026
Laboratory DirectorDr. Matthew K. Banks
Laboratory Phone(910) 504-3506
Laboratory LocationRecon Neurology & Psychiatry1340 Walter Reed Road, Ste 202, Fayetteville, NC 28304
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2334380

Recon Neurology And Psychiatry · Pinehurst, NC
Active · expires Nov 19, 2027
CLIA Number34D2334380
Laboratory TypePhysician Office
Certificate Effective DateNovember 20, 2025
Certificate Expiration DateNovember 19, 2027
Laboratory DirectorMatthew K. Bank
Laboratory Phone(843) 948-1191
Laboratory LocationRecon Neurology And Psychiatry70 Memorial Drive, Pinehurst, NC 28374
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2351417

Recon Neurology & Psychiatry · Charlotte, NC
Active · expires Sep 24, 2028
CLIA Number34D2351417
Laboratory TypePhysician Office
Certificate Effective DateSeptember 25, 2026
Certificate Expiration DateSeptember 24, 2028
Laboratory DirectorMatthew K. Banks
Laboratory Phone(910) 504-3506
Laboratory LocationRecon Neurology & Psychiatry10370 Park Rd Ste 200, Charlotte, NC 28210
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Recon Neurology & Psychiatry's NPI number?

The NPI number for Recon Neurology & Psychiatry is 1427769140. It was assigned to this organization in the NPPES registry on December 13, 2022.

Where is Recon Neurology & Psychiatry located?

Recon Neurology & Psychiatry is located at 1340 Walter Reed Rd Ste 202, Fayetteville, NC 28304. The listed phone number is (910) 504-3506.

What is Recon Neurology & Psychiatry's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Recon Neurology & Psychiatry enrolled in Medicare?

Yes. Recon Neurology & Psychiatry is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Recon Neurology & Psychiatry?

According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 4 Medicare specialties reassign their Medicare billing to Recon Neurology & Psychiatry. 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 Nurse Practitioner (7), Psychiatry (6) and Clinical Social Worker (4). Of these, 6 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Recon Neurology & Psychiatry hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Recon Neurology & Psychiatry accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Cigna Healthcare and Molina Healthcare list Recon Neurology & Psychiatry 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 Recon Neurology & Psychiatry was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.