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

NPI Status: Active since January 23, 2025

Contact Information

717 GREEN VALLEY RD STE 200
GREENSBORO, NC
ZIP 27408
Phone: (743) 222-9755

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About EVERGREEN PSYCHIATRY GROUP PLLC

This page provides the complete NPI Profile along with additional information for Evergreen Psychiatry Group Pllc, a provider established in Greensboro, North Carolina operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1700698164 assigned on January 2025. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mariam Nantang (Owner)

NPI
1700698164
Provider Name
EVERGREEN PSYCHIATRY GROUP PLLC
Entity Type
Organization
Location Address
717 GREEN VALLEY RD STE 200 GREENSBORO, NC 27408
Location Phone
(743) 222-9755
Mailing Address
717 GREEN VALLEY RD STE 200 GREENSBORO, NC 27408
Mailing Phone
(743) 222-9755
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-23-2025
Last Update Date
01-23-2025
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Location Map

Secondary Locations

  • 1140 Kildaire Farm Rd Rm 12
    Cary, NC 27511
    (743) 222-9755

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM1300XAmbulatory Health Care Facilities

Clinic/Center
Multi-Specialty

 
2363LP0808XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Psychiatric/Mental Health

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARIAM NANTANG

Authorized Official Title
OWNER
Authorized Official Phone
(743) 222-9755

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1700698164, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
0
Doubled → 0
Pos 4
0
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
1
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 6 → 12 → 3 8 → 16 → 7 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 0 + 0 + 1 + 2 + 9 + 1 + 6 + 1 + 1 + 2 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1700698164.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Counselor (Professional)
717 GREEN VALLEY RD STE 200
GREENSBORO, NC 27408
Behavior Technician
717 GREEN VALLEY RD STE 200
GREENSBORO, NC 27408
Behavior Technician
717 GREEN VALLEY RD STE 200
GREENSBORO, NC 27408
Behavior Technician
717 GREEN VALLEY RD STE 200
GREENSBORO, NC 27408
Behavior Technician
717 GREEN VALLEY RD STE 200
GREENSBORO, NC 27408
Behavior Technician
717 GREEN VALLEY RD STE 200
GREENSBORO, NC 27408
Case Management
717 GREEN VALLEY RD STE 200
GREENSBORO, NC 27408
Behavior Technician
717 GREEN VALLEY RD STE 200
GREENSBORO, NC 27408
Behavior Technician
717 GREEN VALLEY RD STE 200
GREENSBORO, NC 27408
Behavior Technician
717 GREEN VALLEY RD STE 200
GREENSBORO, NC 27408
Behavior Technician
717 GREEN VALLEY RD STE 200
GREENSBORO, NC 27408
Home Health
717 GREEN VALLEY RD STE 200
GREENSBORO, NC 27408
Health and Wellness Coach
717 GREEN VALLEY RD STE 200
GREENSBORO, NC 27408
Registered Nurse (Home Health)
717 GREEN VALLEY RD STE 200
GREENSBORO, NC 27408
Clinic/Center (Adult Mental Health)
717 GREEN VALLEY RD STE 200
GREENSBORO, NC 27408
In Home Supportive Care
717 GREEN VALLEY RD STE 200
GREENSBORO, NC 27408
Family Medicine
717 GREEN VALLEY RD STE 200
GREENSBORO, NC 27408
Community/Behavioral Health
717 GREEN VALLEY RD STE 200
GREENSBORO, NC 27408
Private Vehicle
717 GREEN VALLEY RD STE 200
GREENSBORO, NC 27408
Student in an Organized Health Care Education/Training Program
717 GREEN VALLEY RD STE 200
GREENSBORO, NC 27408

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700698164, enumerated as an "organization" on January 23, 2025.

The provider is located at 717 GREEN VALLEY RD STE 200 GREENSBORO, NC 27408 and the phone number is (743) 222-9755.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).