Provider Demographics
NPI:1457404295
Name:SEVENHILL ASSOCIATES PA
Entity Type:Organization
Organization Name:SEVENHILL ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:BAILEY
Authorized Official - Last Name:JARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-544-4300
Mailing Address - Street 1:5318 NC HIGHWAY 55 STE 206
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-9660
Mailing Address - Country:US
Mailing Address - Phone:919-544-4300
Mailing Address - Fax:919-544-7676
Practice Address - Street 1:5318 NC HIGHWAY 55 STE 206
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-9660
Practice Address - Country:US
Practice Address - Phone:919-544-4300
Practice Address - Fax:919-544-7676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891065GMedicaid
NC1065GOtherBCBS
NCB34239Medicare UPIN
NC891065GMedicaid