HAROLD WALKER ELLIOTT SR.


Address: 711 Executive Pl Fl 4, Fayetteville, NC 28305-5193
Phone: 9106153333

HAROLD WALKER ELLIOTT SR. (NPI# 1750366233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750366233
Entity Type Individual
Full Name HAROLD WALKER ELLIOTT SR.
Credential MD
Practice Address 711 Executive Pl Fl 4
Fayetteville
NC 28305-5193
Mailing Address 1533 Lake Glen Dr
Fuquay Varina
NC 27526-6946
Practice Telephone 9106153333
Practice Fax Number 9106159765
Mailing Telephone 3367125936
Enumeration Date 2005-12-07
Last Update Date 2018-11-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
47993 TN Allopathic & Osteopathic Physicians
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
35634 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA 7114010 05
BCBS 1010M 01
WV 1810965000 05
NC 891010M 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
Bldg. 52 Lake Dr, Mountain Home, TN 37684 6234398000 4234392200
Community Mental Health-3rd Fl, 711 Executive Place 3rd Floor, Fayetteville, NC 283055193 9106153700 9106153798

Other Providers HAROLD ELLIOTT

NPI Name Taxonomy Address Enumeration
1033306329 Harold Nelson Elliott Counselor 111 Church St, Laconia, NH 03246-3432 2007-10-01

Office Location

Street Address 711 EXECUTIVE PL FL 4
City FAYETTEVILLE
State NC
Zip Code 28305-5193

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396301537 Jessica L. Gilbert Counselor 711 Executive Pl Fl 4, Fayetteville, NC 28305-5193 2019-05-14
1790234177 Elizabeth Ann Monge Counselor 711 Executive Pl Fl 4, Fayetteville, NC 28305-5193 2016-09-27
1760741961 Ngu Wah Aung Psychiatry & Neurology 711 Executive Pl Fl 4, Fayetteville, NC 28305-5193 2012-05-08
1578586541 Barbara V. Wise Psychiatry & Neurology 711 Executive Pl Fl 4, Fayetteville, NC 28305-5193 2006-07-25
1457371064 Cheryl J Fiser Social Worker 711 Executive Pl Fl 4, Fayetteville, NC 28305-5193 2006-07-20
1487699146 Marla R. Hemphill Psychiatry & Neurology 711 Executive Pl Fl 4, Fayetteville, NC 28305-5193 2006-06-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437637733 Shannon S Wiggins Social Worker 2525 Raeford Rd Ste A, Fayetteville, NC 28305 2018-07-30
1205345790 Sarah Elizabeth Hudson Marriage & Family Therapist 214 Fairway Dr, Fayetteville, NC 28305 2017-09-27
1336533116 Avalon Counseling Services Pa Counselor 916 B Arsenal Ave, Fayetteville, NC 28305 2015-03-19
1568882827 Kenneth Brown Counselor 901 Arsenal Avenue, Suite, Fayetteville, NC 28305 2014-04-24
1174879423 Lynette Maxwell Pierce Dentist 2537-b Raeford Rd, Fayetteville, NC 28305 2012-07-24
1356640973 Charlene Jones Social Worker 560 Lambert St, Fayetteville, NC 28305 2011-03-22
1659518173 Christine R Campbell Speech-Language Pathologist 2401 Roberson Street, Fayettville, NC 28305 2009-01-21
1588814628 Zakiya S Karim Pediatrics 1327 Robeson Street, Fayetteville, NC 28305 2008-09-25
1710134770 Bright Heart Healthcare Staffing Nursing Care 2504 Rareford Rd, Fayetteville, NC 28305 2008-08-21
1730272402 Dale A Childers Dentist 2409 Robeson Street, Fayetteville, NC 28305 2006-10-02
Find all providers in zip 28305

Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy 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.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609316694 Suzanne Nicholas LLC Psychiatry & Neurology 2224 Riverfront Ln, Fayetteville, AR 72703-9527 2017-02-24
1417310491 Murray Fork Clinic, PC Psychiatry & Neurology 6020 Morganton Road, Fayetteville, NC 28314-1352 2016-03-29
1003225491 Johari Family Services, LLC Psychiatry & Neurology 701 Whitfield St, Fayetteville, NC 28306-1617 2014-08-11
1609154509 Saguaro Group LLC Psychiatry & Neurology 2800 Breezewood Drive, Ste 100, Fayetteville, NC 28303-5282 2011-07-26
1699065110 Jacquelyn Rae Lange-halley Psychiatry & Neurology 2580 E Joyce Blvd Ste 1, Fayetteville, AR 72703-3924 2011-04-18
1124343918 Dorothee S Mecum Psychiatry & Neurology 28 W Sunbridge Dr, Fayetteville, AR 72703-1822 2010-04-05
1922269018 Kevin M Lamm Psychiatry & Neurology 1724 Roxie Avenue, Fayetteville, NC 28304 2008-06-20
1780871152 Atul Kantesaria Md Pllc Psychiatry & Neurology 105 Hunter Cir, Fayetteville, NC 28304-3407 2007-10-01
1942496005 James Robert Parks Psychiatry & Neurology 102 E Sunbridge Dr, Suite 1, Fayetteville, AR 72703-2830 2007-09-21
1144353699 Trevor Nagib Iskander Psychiatry & Neurology 280 Salt Springs St, Fayetteville, NY 13066-2258 2007-03-13
Find all providers in FAYETTEVILLE

Competitor

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City FAYETTEVILLE
Zip Code 28305

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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