Healthcare Provider Details

I. General information

NPI: 1669447678
Provider Name (Legal Business Name): GINA MARIE HARTMEIER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2006
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

831 W MORGAN ST
RALEIGH NC
27603-1613
US

IV. Provider business mailing address

16044 MOLOKAI DR
TEGA CAY SC
29708-8560
US

V. Phone/Fax

Practice location:
  • Phone: 919-219-0874
  • Fax:
Mailing address:
  • Phone: 803-431-3222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number30631
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number2019-02299
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: