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

Q: What is the provider's specialty?

The provider's specialty is Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.

Active since December 13, 2022CLIA Certified · 4 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: January 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 13, 2026, Sep 12, 2025, Aug 11, 2025 and 3 more (6 updates tracked since 2022).

On this page

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 4 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 Address1340 Walter Reed Rd Ste 202Fayetteville, NC 28304-4451 · (910) 504-3506 · Fax (910) 504-3507

Phone(910) 504-3506

Fax(910) 504-3507

Organization SubpartNo

Authorized OfficialLisa HudsonCredentialing Coordinator · (910) 372-6172

Enumeration DateDecember 13, 2022

Last NPPES UpdateJanuary 13, 20266 updates tracked since enumeration

NPPES CertifiedJanuary 13, 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 1401 79th Ave NMyrtle Beach, SC 29572-4310 · Phone (843) 948-1191 · Fax (843) 948-1192

Location 23656 Cape Center DrFayetteville, NC 28304-4406 · Phone (910) 504-3506 · Fax (910) 504-3507

Location 370 Memorial DrPinehurst, NC 28374-1102 · Phone (910) 348-1192 · Fax (910) 348-1193

Location 41357 Walter Reed Rd Ste 101Fayetteville, NC 28304-4417 · 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 Blue Cross and Blue Shield of NC, Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA 4

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 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 34D2309874

Recon Neurology & Psychiatry · Fayetteville, NC

Active · expires Aug 21, 2026

CLIA Number34D2309874

Laboratory TypePhysician Office

Certificate Effective DateAugust 22, 2024

Certificate Expiration DateAugust 21, 2026

Laboratory DirectorMatthew K. Banks

Laboratory Phone(910) 504-3506

Laboratory LocationRecon Neurology & Psychiatry1357 Walter Reed Road, Ste 101, 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.

Other Providers at the Same Location NPPES 10

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

CHERYL H DODSON DNP, APRN, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)