PORT HEALTH SERVICES (NPI# 1942674999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942674999 |
| Entity Type | Organization |
| Organization Name | PORT HEALTH SERVICES |
| Other Organization Name | PORT HUMAN SERVICES |
| Practice Address |
3715 Guardian Ave Morehead City NC 28557-4323 |
| Mailing Address |
4300 Sapphire Ct Ste 110 Greenville NC 27834-9079 |
| Practice Telephone | 2522223144 |
| Practice Fax Number | 2522223358 |
| Mailing Telephone | 2528307561 |
| Mailing Fax Number | 2524130932 |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2017-01-11 |
| Authorized Official Name | SHARON ROUNTREE (REIMBURSEMENT MANAGER) |
| Authorized Official Telephone | 2528307540 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| PORT Human Services | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962913327 | Port Health Services | Community/Behavioral Health | 224 Memorial Dr Ste B, Jacksonville, NC 28546-6332 | 2017-10-12 |
| 1417356411 | Port Health Services | Counselor | 50347 Nc Hwy 12, Frisco, NC 27936 | 2014-08-15 |
| 1730505470 | Port Health Services | Community/Behavioral Health | 2206 Wrightsville Ave # A, Wilmington, NC 28403-2406 | 2014-03-05 |
| 1417293663 | Port Health Services | Counselor | 144b Community College Rd, Ahoskie, NC 27910-8047 | 2012-12-17 |
| 1245500909 | Port Health Services | Community/Behavioral Health | 2808 Croatan Hwy Suite B, Nags Head, NC 27959-9024 | 2012-01-11 |
| 1326331216 | Port Health Services | Community/Behavioral Health | 314 Progress Drive Extension, Burgaw, NC 28425-2813 | 2011-05-25 |
| 1902101496 | Port Health Services | Community/Behavioral Health | 1507 Martin Street, Wilmington, NC 28401-6422 | 2011-01-14 |
| 1497075618 | Port Health Services | Counselor | 4300-110 Sapphire Court, Greenville, NC 27834-9019 | 2010-06-10 |
| 1881822344 | Port Health Services | Counselor | 101 Arpdc St, Hertford, NC 27944-7901 | 2009-06-23 |
| 1518195072 | Port Health Services | Community/Behavioral Health | 102 Medical Dr Ste A&b, Elizabeth City, NC 27909-3361 | 2009-06-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PORT HEALTH SERVICES | 4300 Sapphire Ct Ste 110, Greenville, NC 27834-9079 |
| Street Address |
3715 GUARDIAN AVE |
| City | MOREHEAD CITY |
| State | NC |
| Zip Code | 28557-4323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386690378 | Homer Curtiss Merrick IIi Md Dba H Curtiss Merrick Md | Specialist | 3715 Guardian Ave, Morehead City, NC 28557-4323 | 2006-05-25 |
| 1114488640 | David Duncan Taylor | Physician Assistant | 3715 Guardian Ave, Morehead City, NC 28557-4323 | 2019-03-27 |
| 1306391867 | Daniel L. Agha-ball | Counselor | 3715 Guardian Ave, Morehead City, NC 28557-4323 | 2016-08-24 |
| 1306120357 | H Curtiss Merrick Md Pa | Internal Medicine | 3715 Guardian Ave, Morehead City, NC 28557-4323 | 2011-10-07 |
| 1205011129 | Brandi Lynn Berger | Counselor | 3715 Guardian Ave, Morehead City, NC 28557-4323 | 2008-01-09 |
| 1528256716 | Donna Leigh Shelton | Physician Assistant | 3715 Guardian Ave, Morehead City, NC 28557-4323 | 2007-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568022929 | Lixue Dong | Audiologist | 5000 Us Highway 70 West, Suite 103, Morehead City, NC 28557 | 2019-06-18 |
| 1235611682 | Kayla Stanton | Pharmacist | 5000 Us Hwy 70 Suite 100, Morehead City, NC 28557 | 2018-09-02 |
| 1154823649 | Myeyedr Optometry of North Carolina, Pllc | Optometrist | 5100 Highway 70 W, Morehead City, NC 28557 | 2018-03-01 |
| 1487162434 | Goshen Medical Center, Incorporated | Clinic/Center | 4370a Arendell St, Morehead, NC 28557 | 2018-01-11 |
| 1063953123 | Carteret Landing LLC | Custodial Care Facility | 221 Friendly Road, Morehead City, NC 28557 | 2017-03-09 |
| 1619313277 | 123 Go Kidz | Community/Behavioral Health | 2339 Shore Dr, Morehead City, NC 28557 | 2013-05-22 |
| 1164765855 | Carly Outland Silverthorne | Social Worker | 209 N 35th St Ste A-2, Morehead City, NC 28557 | 2013-04-01 |
| 1639437981 | Jeffrey Theodore Hainsworth | Internal Medicine | 623 N 35th St, Morehead City, NC 28557 | 2012-04-24 |
| 1780993832 | Elizabeth Anne Mills | Pharmacist | 5020 Arendell St., Morehead City, NC 28557 | 2010-10-06 |
| 1306075650 | Friendly Caregivers | In Home Supportive Care | 710 Arendell St., Morehead City, NC 28557 | 2009-07-08 |
| Find all providers in zip 28557 | ||||
| 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 |
|---|---|---|---|---|
| 1649723966 | Integrated Family Services, Pllc | Community/Behavioral Health | 3710 John Platt Dr, Suite A, Morehead City, NC 28557-4372 | 2016-08-03 |
| 1629416979 | Monarch | Community/Behavioral Health | 406 Brook St, Morehead City, NC 28557-4350 | 2013-06-10 |
| 1619313277 | 123 Go Kidz | Community/Behavioral Health | 2339 Shore Dr, Morehead City, NC 28557 | 2013-05-22 |
| 1972854008 | Reaching Your Goals | Community/Behavioral Health | 1200 Evans St, Morehead City, NC 28557-4139 | 2012-09-28 |
| 1184929242 | Lechris Counseling Services, Inc. | Community/Behavioral Health | 140 Vashti Dr, Morehead City, NC 28557-6294 | 2011-01-21 |
| 1255509394 | Lechris Counseling Services, Inc. | Community/Behavioral Health | 3900 Bridges St, Morehead City, NC 28557-2916 | 2008-02-12 |
| 1740479948 | Carolina Choice LLC | Community/Behavioral Health | 4050 Arendell St, Suite 1, Morehead City, NC 28557-2940 | 2007-10-24 |
| 1730205329 | Howell Support Services | Community/Behavioral Health | 801 Arendell St, Morehead City, NC 28557-4284 | 2007-03-22 |
| 1770613242 | Onslow Carteret Behavioral Healthcare Services | Community/Behavioral Health | 3820b Bridges St, Morehead City, NC 28557-2918 | 2007-03-06 |
| 1881736825 | Universal Mhddsas | Community/Behavioral Health | 3820 Bridges Street, Suite 8, Morehead City, NC 28557-2918 | 2007-02-13 |
| Find all providers in MOREHEAD CITY | ||||
| City | MOREHEAD CITY |
| Zip Code | 28557 |
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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.