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Southlake Psychiatry PC

Q: What type of organization is Southlake Psychiatry PC?

Southlake Psychiatry PC is registered in NPPES as a Psychiatry Physician (its primary provider taxonomy).

Psychiatry Physician in Davidson, NC · enumerated 2007 · authorized official Thomas Fitzgerald, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1295921724

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Registry record

Entity type Organization (Type 2)

Legal business name Southlake Psychiatry PC

Practice address 903 Northeast Dr, Suite 301, Davidson, NC, 28036

Phone (704) 894-9309

Fax (704) 894-9304

Enumeration date Sep 18, 2007

Last updated in NPPES Aug 1, 2025

Taxonomy & classification

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License 9300112 (NC) Primary

Authorized official

Name Thomas Fitzgerald

Title President

Phone (704) 894-9309

Other identifiers

Identifier	Type	State	Issuer
B3348	Other	NC	BCBS
8932269	Medicaid	NC	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Southlake Psychiatry PC?

Southlake Psychiatry PC is registered in NPPES as a Psychiatry Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-08-01.