Provider Demographics
NPI:1407857816
Name:GILFORT, ATKINSON & ASSOCIATES
Entity Type:Organization
Organization Name:GILFORT, ATKINSON & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:J
Authorized Official - Last Name:GILFORT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:919-416-1830
Mailing Address - Street 1:1530 N GREGSON ST
Mailing Address - Street 2:SUITE 3A
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-1155
Mailing Address - Country:US
Mailing Address - Phone:919-416-1830
Mailing Address - Fax:919-416-8883
Practice Address - Street 1:1530 N GREGSON ST
Practice Address - Street 2:SUITE 3A
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-1155
Practice Address - Country:US
Practice Address - Phone:919-416-1830
Practice Address - Fax:919-416-8883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC161101YA0400X
NC3516101YP2500X
NC2668103TC0700X
NC3311103TC0700X
NCC0044461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC016VAOtherNC HEALTH CHOICE
NC016VAOtherGROUP BLUE CROSS BLUE SHI
NC6005450Medicaid
NC016VAOtherNC HEALTH CHOICE