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ADVAITA INTEGRATED MEDICINE PLLC
NPI 1437727088
Psychiatry & Neurology - Psychiatry in Raleigh, NC

Active since June 10, 2021CLIA Certified · 3 labs
4904 PROFESSIONAL CT, RALEIGH, NC 27609(919) 893-4465(919) 689-5350 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 5, 2026, Apr 1, 2026, Jul 3, 2024 and 4 more (7 updates tracked since 2021).

About Advaita Integrated Medicine Pllc NPPES

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

ADVAITA INTEGRATED MEDICINE PLLC (NPI 1437727088) is a healthcare organization registered as a psychiatry in Raleigh, North Carolina and active in the NPI registry since June 2021. The organization holds 3 active CLIA laboratory certificates, maintains 5 additional practice locations, and lists J Eulan Johnson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1437727088
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameADVAITA INTEGRATED MEDICINE PLLC
Location Address4904 PROFESSIONAL CTRaleigh, NC 27609-4969
Mailing Address4904 Professional CtRaleigh, NC 27609-4969 · (919) 893-4465 · Fax (800) 860-8126
Phone(919) 893-4465
Fax(919) 689-5350
Organization SubpartNo
Authorized OfficialJ Eulan JohnsonCeo · (828) 228-6148
Enumeration DateJune 10, 2021
Last NPPES UpdateAugust 5, 20267 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1437727088 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.
4904 PROFESSIONAL CT, Raleigh, NC 27609
Open in Google Maps ↗

Secondary Practice Locations 5

Location 11350 SE Maynard Rd Ste 201Cary, NC 27511-3634 · Phone (919) 893-4465 · Fax (919) 689-5350
Location 26124 Saint Giles StRaleigh, NC 27612-7042 · Phone (919) 893-4465
Location 3880 Martin Luther King Jr BlvdChapel Hill, NC 27514-2600 · Phone (919) 893-4465
Location 46112 Saint Giles StRaleigh, NC 27612-7043 · Phone (919) 893-4465
Location 5890 Martin Luther King Jr BlvdChapel Hill, NC 27514-2600 · Phone (984) 204-1106

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, Cigna Healthcare.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)

Advaita Integrated Medicine Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

25

Medicare enrollment records show 25 clinicians reassign Medicare billing to Advaita Integrated Medicine PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 15 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Clinical Social Worker8
Nurse Practitioner8
Psychiatry6
Mental Health Counselor3

Nearest to this location (20)

See all 25
Connor Belson, MD
Psychiatry
NPI 1801478516
4904 PROFESSIONAL CT
Raleigh, NC 27609
(919) 893-4465
✔ PECOS✔ Accepts MedicareSame address
Taylor Washington
Nurse Practitioner
NPI 1699395186
3610 BUSH ST
Raleigh, NC 27609
(877) 876-3783
✔ PECOS✔ Accepts Medicare1.3 mi
Kylie Hoover, PMHNP
Nurse Practitioner
NPI 1669210589
3801 BARRETT DR
Raleigh, NC 27609
(919) 870-8409
✔ PECOS✔ Accepts Medicare2.1 mi
Jennifer Tangeman, FNP
Nurse Practitioner
NPI 1689056806
3801 BARRETT DR
Raleigh, NC 27609
(919) 870-8409
✔ PECOS✔ Accepts Medicare2.1 mi
Caroline Barndt, , MSW, LCSW
Clinical Social Worker
NPI 1891136578
6112 SAINT GILES ST
Raleigh, NC 27612
(919) 893-4465
✔ PECOS✔ Accepts Medicare5.3 mi
Roy Book, M.D.
Psychiatry
NPI 1245437631
6112 SAINT GILES ST
Raleigh, NC 27612
(919) 893-4465
✔ PECOS✔ Accepts Medicare5.3 mi
Kelly Crenshaw
Nurse Practitioner
NPI 1790161263
6112 SAINT GILES ST
Raleigh, NC 27612
(919) 893-4465
✔ PECOS✔ Accepts Medicare5.3 mi
Seton Ennis, LCSW
Clinical Social Worker
NPI 1841053469
6112 SAINT GILES ST
Raleigh, NC 27612
(919) 893-4465
✔ PECOS✔ Accepts Medicare5.3 mi
Rachel Iroff, LCSW
Clinical Social Worker
NPI 1700630134
6112 SAINT GILES ST
Raleigh, NC 27612
(865) 898-3480
✔ PECOS✔ Accepts Medicare5.3 mi
Corey Kennedy, LCSWA
Clinical Social Worker
NPI 1811410483
6112 SAINT GILES ST
Raleigh, NC 27612
(919) 893-4465
✔ PECOS✔ Accepts Medicare5.3 mi
Diane Mason
Clinical Social Worker
NPI 1497335541
6112 SAINT GILES ST
Raleigh, NC 27612
(919) 893-4465
✔ PECOS✔ Accepts Medicare5.3 mi
Timothy Oconnor, M.D.
Psychiatry
NPI 1285081711
6112 SAINT GILES ST
Raleigh, NC 27612
(919) 893-4465
✔ PECOS✔ Accepts Medicare5.3 mi
Kristen Poppe, LCMHCA, LCASA
Mental Health Counselor
NPI 1568236982
6112 SAINT GILES ST
Raleigh, NC 27612
(919) 893-4465
✔ PECOS5.3 mi
Madison West
Mental Health Counselor
NPI 1407475981
6112 SAINT GILES ST
Raleigh, NC 27612
(919) 893-4465
✔ PECOS✔ Accepts Medicare5.3 mi
Deana Luciano, LCMHC, LCAS
Mental Health Counselor
NPI 1629773924
6124 SAINT GILES ST
Raleigh, NC 27612
(919) 893-4465
✔ PECOS5.4 mi
Lori Thompson
Nurse Practitioner
NPI 1316467749
7780 BRIER CREEK PKWY STE 306
Raleigh, NC 27617
(919) 582-7272
✔ PECOS✔ Accepts Medicare11 mi
Andrew Fish, LCSW
Clinical Social Worker
NPI 1629526488
2530 MERIDIAN PKWY STE 115
Durham, NC 27713
(704) 360-3637
✔ PECOS17 mi
Alexandra Spessot, M.D.
Psychiatry
NPI 1073789764
5015 SOUTHPARK DR STE 250
Durham, NC 27713
(919) 263-4246
✔ PECOS✔ Accepts Medicare19 mi
Kelli Matsievskiy, BS
Clinical Social Worker
NPI 1962022855
2670 DURHAM CHAPEL HILL BLVD
Durham, NC 27707
(919) 251-9001
✔ PECOS20 mi
Devon Zafuto, PA-C
Psychiatry
NPI 1497497150
2011 CHAPEL HILL RD
Durham, NC 27707
(919) 341-6111
✔ PECOS✔ Accepts Medicare20 mi
See all 25 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 3

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 34D2309891

Advaita Integrated Medicine · Chapel Hill, NC
Active · expires Aug 21, 2028
CLIA Number34D2309891
Laboratory TypePhysician Office
Certificate Effective DateAugust 22, 2026
Certificate Expiration DateAugust 21, 2028
Laboratory DirectorJ Eulan Johnson III
Laboratory Phone(919) 893-4465
Laboratory LocationAdvaita Integrated Medicine880 Martin Luther King Jr Blvd, Chapel Hill, NC 27514
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 34D2294876

Advaita Integrated Medicine PLLC · Raleigh, NC
Active · expires Nov 30, 2027
CLIA Number34D2294876
Laboratory TypePhysician Office
Certificate Effective DateDecember 1, 2025
Certificate Expiration DateNovember 30, 2027
Laboratory DirectorJ Eulan Johnson III
Laboratory Phone(919) 893-4465
Laboratory LocationAdvaita Integrated Medicine PLLC6124 Saint Giles St, Raleigh, NC 27612
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 34D2228512

Advaita Integrated Medicine, PLLC · Raleigh, NC
Active · expires Jun 27, 2027
CLIA Number34D2228512
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateJune 28, 2025
Certificate Expiration DateJune 27, 2027
Laboratory DirectorJ Eulan Johnson III
Laboratory Phone(610) 999-4966
Laboratory LocationAdvaita Integrated Medicine, PLLC6112 Saint Giles Street, Raleigh, NC 27612
CLIA data matches this NPI record on: Address Name
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 Advaita Integrated Medicine PLLC's NPI number?

The NPI number for Advaita Integrated Medicine PLLC is 1437727088. It was assigned to this organization in the NPPES registry on June 10, 2021.

Where is Advaita Integrated Medicine PLLC located?

Advaita Integrated Medicine PLLC is located at 4904 Professional Ct, Raleigh, NC 27609. The listed phone number is (919) 893-4465.

What is Advaita Integrated Medicine PLLC's specialty?

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

Is Advaita Integrated Medicine PLLC enrolled in Medicare?

Yes. Advaita Integrated Medicine PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advaita Integrated Medicine PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 4 Medicare specialties reassign their Medicare billing to Advaita Integrated Medicine PLLC. 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 Clinical Social Worker (8), Nurse Practitioner (8) and Psychiatry (6). Of these, 1 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advaita Integrated Medicine PLLC hold CLIA laboratory certificates?

Yes. 3 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 Advaita Integrated Medicine PLLC accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Advaita Integrated Medicine PLLC 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 Advaita Integrated Medicine PLLC was last updated on August 5, 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.