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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GREGORY PHILIP HELTON M.D.
NPI 1861711582
Psychiatry & Neurology - Psychiatry in Chapel Hill, NC

Active since May 20, 2010PECOS EnrolledAccepts Medicare Assignment
401 PROVIDENCE RD STE 100, CHAPEL HILL, NC 27514(855) 501-1004 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 1, 2026, May 8, 2019, Dec 31, 2015 (3 updates tracked since 2015).

About Gregory Philip Helton M.d. NPPES

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

GREGORY PHILIP HELTON M.D. (NPI 1861711582) is an individual psychiatry provider in Chapel Hill, North Carolina, licensed in North Carolina (2013-01674) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Durham, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1861711582
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameGREGORY PHILIP HELTONCredential: M.D.
Location Address401 PROVIDENCE RD STE 100Chapel Hill, NC 27514-2203
Mailing Address3835 N Freeway Blvd Ste 100Sacramento, CA 95834-1954
Phone(855) 501-1004
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateMay 20, 2010
Last NPPES UpdateOctober 1, 20263 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1861711582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NC · 2013-01674
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.
401 PROVIDENCE RD STE 100, Chapel Hill, NC 27514
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Secondary Practice Location 1

Location 13604 Shannon Rd, Ste. 200Durham, NC 27707-6343 · Phone (919) 403-2122 · Fax (919) 401-4993

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.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

Gregory Philip Helton 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 ID5193941433
PECOS Enrollment IDI20140723001297
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 Gregory Helton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mindpath Care Centers, North Carolina, PLLC
6.9 mi
Psychiatry
4220 APEX HWY STE 200
Durham, NC 27713
  • Reassigned Medicare billing, North Carolina enrollment
  • 116 clinicians in this Medicare group
NPI 1508803214 (919) 354-0850

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
291 services33 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
253 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27514 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 15

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

SONIA ESTHER ECHEVARRIA LPC-A
Counselor (Mental Health)
401 PROVIDENCE RD STE 100
CHAPEL HILL, NC 27514
Orange County (855) 501-1004
JANE ANN ROSSETH MFT
Marriage & Family Therapist
401 PROVIDENCE RD STE 100
CHAPEL HILL, NC 27514
Orange County (855) 501-1004
CANDACE SIERRA JONES MD
Psychiatry & Neurology (Psychiatry)
401 PROVIDENCE RD STE 100
CHAPEL HILL, NC 27514
Orange County (855) 501-1004
MADISON CROCKER PIOTROWSKI MD
Psychiatry & Neurology (Psychiatry)
401 PROVIDENCE RD STE 100
CHAPEL HILL, NC 27514
Orange County (855) 501-1004
VANESSA LYNNE NASH LCSW
Social Worker (Clinical)
401 PROVIDENCE RD STE 100
CHAPEL HILL, NC 27514
Orange County (919) 929-1375
ALECIA PATTERSON PA-C
Physician Assistant
401 PROVIDENCE RD STE 100
CHAPEL HILL, NC 27514
Orange County (919) 929-1375
DR. BENJAMIN BORIS BRODEY
Psychiatry & Neurology (Psychiatry)
401 PROVIDENCE RD STE 100
CHAPEL HILL, NC 27514
Orange County (855) 436-1241
MRS. AUDREY LYNNE SUEHS PA-C
Physician Assistant
401 PROVIDENCE RD STE 100
CHAPEL HILL, NC 27514
Orange County (919) 929-1375

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 Gregory Helton's NPI number?

The NPI number for Gregory Helton is 1861711582. It was assigned to this individual provider in the NPPES registry on May 20, 2010.

Where is Gregory Helton located?

Gregory Helton practices at 401 Providence Rd Ste 100, Chapel Hill, NC 27514. The listed phone number is (855) 501-1004.

What is Gregory Helton's specialty?

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

Is Gregory Helton enrolled in Medicare?

Yes. Gregory Helton 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 Gregory Helton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Helton reassigns Medicare benefits to Mindpath Care Centers, North Carolina, PLLC (Durham, 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 Gregory Helton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gregory Helton accept?

Health plans from Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Gregory Helton 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 Gregory Helton was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.