EVERGREEN BEHAVIORAL HEALTH & WELLNESS, PLLC
NPI 1669346482
Physician Assistant in Raleigh, NC

Q: What is Evergreen Behavioral Health & Wellness, PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since October 03, 2025

4030 WAKE FOREST RD STE 349, RALEIGH, NC 27609(919) 897-7538 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Evergreen Behavioral Health & Wellness, Pllc NPPES

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

EVERGREEN BEHAVIORAL HEALTH & WELLNESS, PLLC (NPI 1669346482) is a healthcare organization registered as a physician assistant in Raleigh, North Carolina and active in the NPI registry since October 2025. The organization lists Joseph Jordan, Owner/physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1669346482

Entity TypeOrganization

Primary Taxonomy363A00000X

Legal Business NameEVERGREEN BEHAVIORAL HEALTH & WELLNESS, PLLC

Location Address4030 WAKE FOREST RD STE 349Raleigh, NC 27609-0010

Mailing Address604 E Front St Unit 382Clayton, NC 27520-2058 · (919) 897-7538

Phone(919) 897-7538

Organization SubpartNo

Authorized OfficialJoseph JordanOwner/physician Assistant · (570) 417-6508

Enumeration DateOctober 3, 2025

Last NPPES UpdateDecember 9, 2025

NPPES CertifiedDecember 9, 2025

✔ NPI 1669346482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4030 WAKE FOREST RD STE 349, Raleigh, NC 27609

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

ANN DEL ROSARIO MA

Community/Behavioral Health