Evergreen Psychiatry Group PLLC
NPI 1700698164 · Mental Health Clinic/Center (Including Community Mental Health Center) · Greensboro, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Evergreen Psychiatry Group PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Greensboro, NC (NPI 1700698164).
Provider details
- NPI number
- 1700698164
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mariam Nantang, Owner(743) 222-9755
Specialties & taxonomies
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 1140 Kildaire Farm Rd Rm 12Cary, NC 27511-4562Phone: (743) 222-9755
Registry dates
- Enumerated
- 2025-01-23
- Last updated
- 2025-01-23
- Certified
- 2025-01-17
Frequently asked questions
- What is Evergreen Psychiatry Group PLLC's NPI number?
- Evergreen Psychiatry Group PLLC's National Provider Identifier (NPI) is 1700698164, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Psychiatry Group PLLC?
- Evergreen Psychiatry Group PLLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Evergreen Psychiatry Group PLLC located?
- Evergreen Psychiatry Group PLLC's practice location on file with NPPES is 717 Green Valley Rd Ste 200, Greensboro, NC 27408-2156.
- What is Evergreen Psychiatry Group PLLC's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Psychiatry Group PLLC is (743) 222-9755.
- Does Evergreen Psychiatry Group PLLC accept Medicare?
- Evergreen Psychiatry Group PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Evergreen Psychiatry Group PLLC?
- The authorized official listed on Evergreen Psychiatry Group PLLC's NPPES record is Mariam Nantang, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Psychiatry Group PLLC's NPI active?
- Yes — Evergreen Psychiatry Group PLLC's NPI (1700698164) is active in the NPPES registry as of the last update on 2025-01-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.