SMEG FAMILY MENTAL HEALTH (NPI# 1578986931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578986931 |
| Entity Type | Organization |
| Organization Name | SMEG FAMILY MENTAL HEALTH |
| Practice Address |
610a Old Tar Village Rd Winterville NC 28590-7936 |
| Practice Telephone | 2523648972 |
| Practice Fax Number | 2523648971 |
| Mailing Telephone | 2523648972 |
| Mailing Fax Number | 2523648971 |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-21 |
| Authorized Official Name | MR. RICHARD WILSON JR. (OWNER/CEO) |
| Authorized Official Telephone | 2523648972 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
5003235 | NC | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6113048 | 05 |
| Street Address |
610A OLD TAR VILLAGE RD |
| City | WINTERVILLE |
| State | NC |
| Zip Code | 28590-7936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518158393 | Jamie Leigh Rogers | Nurse Practitioner | 610a Old Tar Village Rd, Winterville, NC 28590-7936 | 2007-08-06 |
| 1104475086 | Savannah Leigh Black | Social Worker | 610a Old Tar Village Rd, Winterville, NC 28590-7936 | 2019-09-04 |
| 1437574142 | Kelly D Newhouse | Counselor | 610a Old Tar Village Rd, Winterville, NC 28590-7936 | 2014-03-04 |
| 1497188072 | Lisa Kay Coffman | Social Worker | 610a Old Tar Village Rd, Winterville, NC 28590-7936 | 2013-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427666130 | Domika Dunn | Non-emergency Medical Transport (VAN) | 2634 Mill Street, #3, Winterville, NC 28590 | 2020-07-20 |
| 1417490194 | Sarah Blakely | Counselor | 367 Branchwood Drive, Winterville, NC 28590 | 2016-11-29 |
| 1740671817 | Faith Lewis Hardison | Social Worker | 173 A Emily Dr., Winterville, NC 28590 | 2015-02-11 |
| 1255740932 | Kendal Williams Strickland | Pharmacist | 4240 Nc Hwy 11 South, Winterville, NC 28590 | 2014-08-07 |
| 1396152757 | Patricia Ragin | Counselor | 1200 Freeland Lane, Unit K1, Winterville, NC 28590 | 2014-07-17 |
| 1780941104 | Triniti House of Restoration | Psychiatric Residential Treatment Facility | 485 Marlboro Drive, Winterville, NC 28590 | 2012-04-23 |
| 1295003002 | Linda Peer Fleming | Psychologist | 108-d West Firetower Rd., Teacch South Hall Professional Center, Winterville, NC 28590 | 2011-12-07 |
| 1740595859 | Christina Neverte Sidrak | Pharmacist | 4211 Nc Highway 11 South, Winterville, NC 28590 | 2010-08-12 |
| 1902124993 | Dove United Counseling and Assessment Services | Counselor | 575 S. Square Drive, Apt 98, Winterville, NC 28590 | 2010-05-14 |
| 1841526407 | Kyle Dombach | Pharmacist | 4211 Winterville Parkway, Winterville, NC 28590 | 2009-11-02 |
| Find all providers in zip 28590 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463035 | Elizabeth Covert | Registered Nurse | 83 Covert Rd, Old Fort, NC 28762-7872 | 2020-10-07 |
| 1265044218 | Lolade Ogunleye | Registered Nurse | 101 Mannin Drive, Chapel Hill, NC 27514-1660 | 2020-08-20 |
| 1316578388 | Judylyn Hobson | Registered Nurse | Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 | 2020-01-29 |
| 1861954349 | Kayla Nicole Flieger | Registered Nurse | 119 Sonia Drive, Hubert, NC 28539 | 2019-04-03 |
| 1316493174 | Maria Mercedes Evangelista | Registered Nurse | 8044 Hartham Park Ave, Raleigh, NC 27616-9302 | 2016-08-31 |
| 1053718072 | Brown's Goldencare | Registered Nurse | 207 Morven Road, Wadesboro, NC 28170 | 2014-11-20 |
| 1326378035 | Tina Nowak | Registered Nurse | 501 S Broad St, Brevard, NC 28712-4044 | 2009-12-31 |
| 1942421508 | Benjamin Joseph Mastridge | Registered Nurse | 402 North Main St, Creedmoor, NC 27522-8815 | 2007-05-01 |
| 1073739876 | Judy S. Ayers | Registered Nurse | 2563 Eric Ln, K, Burlington, NC 27215-4303 | 2007-04-18 |
| 1164550406 | Edith M. Chance | Registered Nurse | 4913 Forbush Rd, East Bend, NC 27018-7855 | 2007-02-28 |
| Find all providers with the same taxonomy | ||||
| City | WINTERVILLE |
| Zip Code | 28590 |
Please comment or provide details below to improve the information on SMEG FAMILY MENTAL HEALTH.
| 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.