PRIMARY HEALTH CHOICE, INC. (NPI# 1114278991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114278991 |
| Entity Type | Organization |
| Organization Name | PRIMARY HEALTH CHOICE, INC. |
| Practice Address |
106 S Lee St Whiteville NC 28472-4028 |
| Mailing Address |
Po Box 159 Saint Pauls NC 28384-0159 |
| Practice Telephone | 9106429900 |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2019-07-26 |
| Authorized Official Name | ASHLEY LOCKLEAR (CFO) |
| Authorized Official Telephone | 9108653500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5921281 | 05 | |
| NC | 6008845 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1424 S Jk Powell Blvd Ste G, Whiteville, NC 284729145 | 9102076184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013269786 | Primary Health Choice, Inc. | Counselor | 302 North Main Street. Suite 2, Kenansville, NC 28349 | 2012-10-05 |
| 1235481938 | Primary Health Choice, Inc. | Counselor | 107 Mount Moriah Church Rd Ste A, Lumberton, NC 28360-8446 | 2012-10-05 |
| 1003167883 | Primary Health Choice, Inc. | Counselor | 902 W Vernon Ave, Kinston, NC 28501-3612 | 2012-09-20 |
| 1265714562 | Primary Health Choice, Inc. | Counselor | 1514 S Horner Blvd, Sanford, NC 27330-5632 | 2011-09-13 |
| 1033436266 | Primary Health Choice, Inc. | Community/Behavioral Health | 107e Mount Moriah Church Road, Lumberton, NC 28360 | 2010-04-28 |
| 1841521051 | Primary Health Choice, Inc. | Community/Behavioral Health | 107d Mount Moriah Church Road, Lumberton, NC 28360-8477 | 2010-01-28 |
| 1821229071 | Primary Health Choice, Inc. | Case Management | 3801 Sycamore Dairy Rd Ste B, Fayetteville, NC 28303-3420 | 2009-08-06 |
| 1447433099 | Primary Health Choice, Inc. | Counselor | 4822 Fayetteville Rd, Lumberton, NC 28358-2112 | 2007-12-06 |
| 1609911411 | Primary Health Choice, Inc. | Community/Behavioral Health | 22421 Andrew Jackson Hwy, Maxton, NC 28364-6721 | 2007-02-20 |
| 1497785174 | Primary Health Choice, Inc. | Community/Behavioral Health | 227 E 4th Ave, Red Springs, NC 28377-1603 | 2006-07-05 |
| Street Address |
106 S LEE ST |
| City | WHITEVILLE |
| State | NC |
| Zip Code | 28472-4028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164766887 | A Primary Choice, Inc. | In Home Supportive Care | 106 S Lee St, Whiteville, NC 28472-4028 | 2012-11-19 |
| 1164766184 | A Primary Choice, Inc. | In Home Supportive Care | 106 S Lee St, Whiteville, NC 28472-4028 | 2012-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720503568 | Anthony Ruan | Pharmacist | 1728 S Madison St., Whiteville, NC 28472 | 2017-08-12 |
| 1336677699 | Brittany Canady | Nurse Practitioner | 5 Whiteville Towncenter, Whiteville, NC 28472 | 2017-05-31 |
| 1801335773 | Mary Mcneill Hooks | Pharmacist | 612-10 Jefferson Street, Whiteville, NC 28472 | 2017-02-13 |
| 1386180248 | Mickey Worthington | Pharmacist | 20 Whiteville Town Ctr, Whiteville, NC 28472 | 2017-01-16 |
| 1851702138 | Tom Mauney Owens | Pharmacist | 612- 4 Jefferson Street, Whiteville, NC 28472 | 2014-05-08 |
| 1740429778 | Coastal Hearing Centers, Inc | Audiologist | 302 Liberty Street, Whiteville, NC 28472 | 2009-02-15 |
| 1689831653 | Amber Marie Wallace Robinson | Occupational Therapy Assistant | 1472 Pickney Street, Whiteville, NC 28472 | 2008-05-19 |
| 1225236417 | Sandra Pickett | Speech-Language Pathologist | 123 E. Columbus Street, Whiteville, NC 28472 | 2007-07-10 |
| 1306041249 | Kimberlee White | Speech-Language Pathologist | 123 E Columbus Street, Whiteville, NC 28472 | 2007-06-20 |
| 1568667418 | Ismael Montes | Respiratory Therapist, Registered | 1014 N. Jk Powell Boulevard, Whiteville, NC 28472 | 2007-06-20 |
| Find all providers in zip 28472 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447790803 | Monarch | Community/Behavioral Health | 1019 S Madison St, Whiteville, NC 28472-4503 | 2017-03-06 |
| 1184089658 | Pathways Counseling Services Pllc | Community/Behavioral Health | 802 S Franklin St, Whiteville, NC 28472-4708 | 2015-12-28 |
| 1306274519 | Coastal Community Management LLC | Community/Behavioral Health | 725 Wedgewood Rd, Whiteville, NC 28472-2928 | 2013-10-24 |
| 1770921025 | Monarch | Community/Behavioral Health | 626 S Madison St, Whiteville, NC 28472-4130 | 2013-06-10 |
| 1144587866 | Ace Enrichment Services, Inc. | Community/Behavioral Health | 204 W Virgil St, Whiteville, NC 28472-4018 | 2012-04-19 |
| 1679880520 | Wilmar Counseling, Pllc | Community/Behavioral Health | 158 Country Club Rd, Whiteville, NC 28472-9131 | 2010-09-13 |
| 1154645554 | Community Innovations, Inc. | Community/Behavioral Health | 805 Wilson St, Whiteville, NC 28472-4713 | 2010-03-15 |
| 1164756623 | Lifechangingbehavioralhealthservices | Community/Behavioral Health | 18 Whiteville Mini Mall, Whiteville, NC 28472-2105 | 2009-09-30 |
| 1689800484 | Superb Care, LLC | Community/Behavioral Health | 805 N Franklin St Ste 110, Whiteville, NC 28472-2734 | 2009-06-08 |
| 1053552315 | Southeastern United Care,llc | Community/Behavioral Health | 138 Memory Plaza, Whiteville, NC 28472-2640 | 2009-03-17 |
| Find all providers in WHITEVILLE | ||||
| City | WHITEVILLE |
| Zip Code | 28472 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.