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

Q: 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.

Q: What is Gregory Helton's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gregory Helton was last updated on May 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since May 20, 2010PECOS EnrolledAccepts Medicare Assignment

3604 SHANNON RD, STE. 200, DURHAM, NC 27707(919) 403-2122(919) 401-4993 Get Directions Write a Review

NPPES record last updated: May 8, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 8, 2019, Dec 31, 2015 (2 updates tracked since 2015).

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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 Durham, North Carolina, licensed in North Carolina (2013-01674) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1861711582

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameGREGORY PHILIP HELTONCredential: M.D.

Location Address3604 SHANNON RD, STE. 200Durham, NC 27707-6343

Mailing Address1502 W Nc Highway 54, Ste 103Durham, NC 27707-5572 · (919) 403-2122 · Fax (919) 401-4993

Phone(919) 403-2122

Fax(919) 401-4993

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateMay 20, 2010

Last NPPES UpdateMay 8, 20192 updates tracked since enumeration

✔ 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.

3604 SHANNON RD, Durham, NC 27707

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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 27707 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 4

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

CLAUDIA A THOMAS CAMPBELL FNP-BC

Nurse Practitioner (Family)

3604 SHANNON RD, STE 200
DURHAM, NC 27707

Durham County (919) 403-2122

BARBARA ANN GAU LCSW

Social Worker (Clinical)

3604 SHANNON RD, STE 200
DURHAM, NC 27707

Durham County (919) 403-2122

CAROLINA PARTNERS IN MENTAL

Non-Pharmacy Dispensing Site

3604 SHANNON RD, SUITE 200
DURHAM, NC 27707

Durham County (919) 403-2122

CLAUDIA THOMAS CAMPBELL LLC

Clinic/Center

3604 SHANNON RD
DURHAM, NC 27707

Durham County (919) 519-1772

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 3604 Shannon Rd Ste. 200, Durham, NC 27707. The listed phone number is (919) 403-2122.

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.

What insurance does Gregory Helton accept?

Health plans from Blue Cross and Blue Shield of NC 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 May 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.