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EVERGREEN PSYCHIATRY GROUP PLLC
NPI 1700698164
Clinic/Center - Mental Health (Including Community Mental Health Center) in Greensboro, NC

Active since January 23, 2025
717 GREEN VALLEY RD STE 200, GREENSBORO, NC 27408(743) 222-9755 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evergreen Psychiatry Group Pllc NPPES

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

EVERGREEN PSYCHIATRY GROUP PLLC (NPI 1700698164) is a healthcare organization registered as a mental health (including community mental health center) in Greensboro, North Carolina and active in the NPI registry since January 2025. The organization maintains a secondary practice location in Cary and lists Mariam Nantang, Owner, as its authorized official.

NPPES Registry Identity

NPI1700698164
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameEVERGREEN PSYCHIATRY GROUP PLLC
Location Address717 GREEN VALLEY RD STE 200Greensboro, NC 27408-2156
Mailing Address717 Green Valley Rd Ste 200Greensboro, NC 27408-2156 · (743) 222-9755
Phone(743) 222-9755
Organization SubpartNo
Authorized OfficialMariam NantangOwner · (743) 222-9755
Enumeration DateJanuary 23, 2025
NPPES CertifiedJanuary 17, 2025
✔ NPI 1700698164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
717 GREEN VALLEY RD STE 200, Greensboro, NC 27408
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Secondary Practice Location 1

Location 11140 Kildaire Farm Rd Rm 12Cary, NC 27511-4562 · Phone (743) 222-9755

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.

MRS. MARIAM MANGU NANTANG PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
717 GREEN VALLEY RD STE 200
GREENSBORO, NC 27408
Guilford County (743) 222-9755
JENNA RENFROE PHD
Clinical Neuropsychologist
717 GREEN VALLEY RD STE 200
GREENSBORO, NC 27408
Guilford County (336) 542-1800
ASCEND CARE TOGETHER LLC
Home Health
717 GREEN VALLEY RD STE 200
GREENSBORO, NC 27408
Guilford County (336) 370-7604
JAQUAN WATSON
Behavior Technician
717 GREEN VALLEY RD STE 200
GREENSBORO, NC 27408
Guilford County (888) 805-0759
AVERY K WRIGHT - YOWELL D.O.
Family Medicine
717 GREEN VALLEY RD STE 200
GREENSBORO, NC 27408
Guilford County (954) 399-4673
UDOAKU EBERECHUCKWU LINTULA MD
Internal Medicine
717 GREEN VALLEY RD STE 200
GREENSBORO, NC 27408
Guilford County (954) 399-4673
MIGUEL ANGEL URIBE
Behavior Technician
717 GREEN VALLEY RD STE 200
GREENSBORO, NC 27408
Guilford County (888) 805-0759
THE MINDFULNESS SPACE PSYCHOTHERAPY SERVICES, PLLC.
Clinic/Center (Adult Mental Health)
717 GREEN VALLEY RD STE 200
GREENSBORO, NC 27408
Guilford County (336) 916-1584

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 Evergreen Psychiatry Group PLLC's NPI number?

The NPI number for Evergreen Psychiatry Group PLLC is 1700698164. It was assigned to this organization in the NPPES registry on January 23, 2025.

Where is Evergreen Psychiatry Group PLLC located?

Evergreen Psychiatry Group PLLC is located at 717 Green Valley Rd Ste 200, Greensboro, NC 27408. The listed phone number is (743) 222-9755.

What is Evergreen Psychiatry Group PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Evergreen Psychiatry Group PLLC was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.