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DR. ROBERT M. LICATA M.D.
NPI 1669522769
Psychiatry & Neurology - Psychiatry in Shallotte, NC

Active since January 11, 2007PECOS EnrolledAccepts Medicare Assignment
120 COASTAL HORIZONS DR, SHALLOTTE, NC 28470(910) 754-4515 Get Directions Write a Review

NPPES record last updated: August 12, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Robert M. Licata M.d. NPPES

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

DR. ROBERT M. LICATA M.D. (NPI 1669522769) is an individual psychiatry provider in Shallotte, North Carolina, licensed in North Carolina (2014-01510) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (1971).

NPPES Registry Identity

NPI1669522769
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. ROBERT M. LICATACredential: M.D.
Location Address120 COASTAL HORIZONS DRShallotte, NC 28470-6094
Mailing Address6200 Cottage Creek RdSouthport, NC 28461-2983 · (571) 216-1272
Phone(910) 754-4515
Sole ProprietorYes
Medical School CMSGeorgetown University School Of MedicineGraduated 1971
Enumeration DateJanuary 11, 2007
Last NPPES UpdateAugust 12, 2015
✔ NPI 1669522769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in NC · 2014-01510✔ Licensed in VA · 0101027066
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.
120 COASTAL HORIZONS DR, Shallotte, NC 28470
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Other Identifiers 1

Medicare UPIND18115

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Robert M. Licata M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567611494
PECOS Enrollment IDI20151110000931
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Robert Licata reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Coastal Horizons Center, Inc.
28 mi
Community/Behavioral Health
615 SHIPYARD BLVD
Wilmington, NC 28412
  • Reassigned Medicare billing, North Carolina enrollment
  • 70 clinicians in this Medicare group
NPI 1922022607 (910) 790-0187

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28470 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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 20

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

BROOKE SIMPSON LCMHCA
Counselor
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470
Brunswick County (910) 754-4515
DR. LINDA SUE RIETH PHD, LPCA, AFC
Counselor
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470
Brunswick County (910) 754-4515
COASTAL HORIZONS CENTER, INC
Community/Behavioral Health
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470
Brunswick County (910) 754-4515
SARAH SPELL LCSWA, LCASA
Social Worker (Clinical)
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470
Brunswick County (910) 754-4515
CHRISTOPHER THORPE LCSW
Social Worker (Clinical)
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470
Brunswick County (910) 754-4515
HEATHER MARIE RUBINO LCSW
Social Worker (Clinical)
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470
Brunswick County (910) 754-4515
SAMANTHA SESSOMS LCASA
Counselor (Addiction (Substance Use Disorder))
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470
Brunswick County (910) 754-4515
MS. SARAH KATHERINE JACOBS MSW, LCSW
Social Worker (Clinical)
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470
Brunswick County (910) 754-4515

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 Robert Licata's NPI number?

The NPI number for Robert Licata is 1669522769. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Robert Licata located?

Robert Licata practices at 120 Coastal Horizons Dr, Shallotte, NC 28470. The listed phone number is (910) 754-4515.

What is Robert Licata's specialty?

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

Is Robert Licata enrolled in Medicare?

Yes. Robert Licata is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Robert Licata's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Licata reassigns Medicare benefits to Coastal Horizons Center, Inc. (Wilmington, NC). The 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 Robert Licata's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Licata accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Robert Licata 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 Robert Licata was last updated on August 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.