OrganizationActive
Southlake Psychiatry PC
NPI 1295921724 · Psychiatry Physician · Davidson, NC
Southlake Psychiatry PC is a Psychiatry Physician organization in Davidson, NC (NPI 1295921724).
Provider details
- NPI number
- 1295921724
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Thomas Fitzgerald, President(704) 894-9309
- License
- 9300112 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
903 Northeast Dr
Suite 301
Davidson, NC 28036
Phone: (704) 894-9309
Fax: (704) 894-9304
Street-level locationGet directions
Mailing address
903 Northeast Dr
Davidson, NC 28036-7416
Registry dates
- Enumerated
- 2007-09-18
- Last updated
- 2025-08-01
- Certified
- 2025-08-01
Frequently asked questions
- What is Southlake Psychiatry PC's NPI number?
- Southlake Psychiatry PC's National Provider Identifier (NPI) is 1295921724, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southlake Psychiatry PC?
- Southlake Psychiatry PC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Southlake Psychiatry PC located?
- Southlake Psychiatry PC's practice location on file with NPPES is 903 Northeast Dr, Davidson, NC 28036.
- What is Southlake Psychiatry PC's phone number?
- The practice phone number listed in the NPPES registry for Southlake Psychiatry PC is (704) 894-9309.
- Who is the authorized official for Southlake Psychiatry PC?
- The authorized official listed on Southlake Psychiatry PC's NPPES record is Thomas Fitzgerald, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southlake Psychiatry PC's NPI active?
- Yes — Southlake Psychiatry PC's NPI (1295921724) is active in the NPPES registry as of the last update on 2025-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.