Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Psimed PA

Organization Psychiatry Physician · NPI 1366613663

Psimed PA provides Psychiatry Physician services in Clemmons, North Carolina. Licensed in North Carolina. Registered with an NPI since 2008.

Licensed in
NC
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2511-D Neudorf Rd
Clemmons, NC 27012 Not confirmed with CMS for 18 years — call before visiting
Phone: (336) 778-0506
Fax: (336) 778-0570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 23500 (NC)

Record details

NPI number1366613663
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Crandell — President · (336) 918-4882
NPI enumeratedMarch 14, 2008
Last updated in NPPESMarch 14, 2008
Mailing addressPo Box 1741, Clemmons, NC 27012

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