EVERGREEN PSYCHIATRY GROUP PLLC
NPI 1700698164
Clinic/Center - Mental Health (Including Community Mental Health Center) in Greensboro, NC
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
Specialties & Licenses 3
Secondary Practice Location 1
Accepted 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)
Evergreen Psychiatry Group Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Evergreen Psychiatry Group PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Evergreen Psychiatry Group PLLC enrolled in Medicare?
Yes. Evergreen Psychiatry Group PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Evergreen Psychiatry Group PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Evergreen Psychiatry Group 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Evergreen Psychiatry Group PLLC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Evergreen Psychiatry Group 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 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 21 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.
# Evergreen Psychiatry Group Pllc · NPI 1700698164
Mental Health (Including Community Mental Health Center) organization in Greensboro, North Carolina. Organization record, active in the CMS NPPES registry since January 23, 2025.
## Identity
- **NPI:** 1700698164 (Entity type: Organization)
- **Enumerated:** January 23, 2025
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Mariam Nantang, OWNER
## Practice location
- **Address:** 717 GREEN VALLEY RD STE 200, Greensboro, NC 27408-2156
- **Phone:** (743) 222-9755
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1700698164) · Data from the CMS NPPES public registry.