PORT HEALTH SERVICES (NPI# 1477538254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477538254 |
| Entity Type | Organization |
| Organization Name | PORT HEALTH SERVICES |
| Other Organization Name | PORT HUMAN SERVICES |
| Practice Address |
2602 Courtier Dr Greenville NC 27834-7818 |
| Mailing Address |
4300-110 Sapphire Court Greenville NC 27834 |
| Practice Telephone | 2527520483 |
| Practice Fax Number | 2527573172 |
| Mailing Telephone | 2528307540 |
| Mailing Fax Number | 2524130932 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2017-02-09 |
| Authorized Official Name | MR. THOMAS OLIVER SAVIDGE JR. (CEO) |
| Authorized Official Telephone | 2528307540 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
MHL-074-145 | NC | Residential Treatment Facilities |
| Y | 101Y00000X | Counselor | MHL-074-157 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS PROVIDER NUMBER | 016X5 | 01 |
| NC | 6005597 | 05 | |
| NC | 6005332 | 05 | |
| NC | 6603789 | 05 | |
| NC | 6603790 | 05 | |
| NC | 5900727 | 05 | |
| NC | 6005592 | 05 | |
| NC | 5900726 | 05 | |
| NC | 6005334 | 05 | |
| NC | 6005329 | 05 |
| 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 |
2602 COURTIER DR |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-7818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043824998 | Bertha Bowen Hambidge | Psychiatry & Neurology | 2602 Courtier Dr, Greenville, NC 27834-7818 | 2020-09-08 |
| 1164033981 | Port Health Services | Pharmacy | 2602 Courtier Dr, Greenville, NC 27834-7818 | 2020-08-14 |
| 1568024701 | Michaela Forsythe | Counselor | 2602 Courtier Dr, Greenville, NC 27834-7818 | 2019-07-08 |
| 1902365695 | Benjamin Kirby Jones Iv | Counselor | 2602 Courtier Dr, Greenville, NC 27834-7818 | 2019-03-13 |
| 1477037612 | Ryanne Karen Nosay | Counselor | 2602 Courtier Dr, Greenville, NC 27834-7818 | 2018-09-24 |
| 1174071435 | Anais Rose Sergi-holt | Counselor | 2602 Courtier Dr, Greenville, NC 27834-7818 | 2016-09-15 |
| 1447621552 | Katherine Smith Howard | Counselor | 2602 Courtier Dr, Greenville, NC 27834-7818 | 2015-10-15 |
| 1104205970 | Mary Megan Freeman | Social Worker | 2602 Courtier Dr, Greenville, NC 27834 | 2015-05-26 |
| 1760861934 | Taylor Leigh Humphrey | Counselor | 2602 Courtier Dr, Greenville, NC 27834-7818 | 2015-05-21 |
| 1669870416 | Jennifer Parks Rezeli | Counselor | 2602 Courtier Dr, Greenville, NC 27834-7818 | 2014-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710522586 | Samuel Bethea Cann V | Counselor | 212 Whitsett St, Greenville, SC 29601-3141 | 2019-11-15 |
| 1417591827 | Michael Nicholson | Counselor | 1990 Augusta St Ste 204, Greenville, SC 29605-6505 | 2019-10-30 |
| 1457993123 | Innovation Counseling Services | Counselor | 8 Sycamore Dr Ste B9, Greenville, SC 29607-2965 | 2019-10-14 |
| 1316591498 | Nelzarie I Wynn | Counselor | 151 Commons Way, Greenville, SC 29611-3850 | 2019-07-28 |
| 1356809990 | Atlantic Consulting and Therapy Specialists, Pa | Counselor | 3493-e Evans Street, Greenville, NC 27834-4535 | 2019-03-02 |
| 1710462916 | Bennett's Counseling Services | Counselor | 1478 Old Central Rd, Greenville, AL 36037-6159 | 2018-10-03 |
| 1154839694 | Tiffany Nicole Ceasar | Counselor | 365 W Reed Rd Ste 1a, Greenville, MS 38701-6967 | 2018-01-18 |
| 1225552557 | Stephanie Epley | Counselor | 365 West Reed Rd Ste A-1, Greenville, MS 38701 | 2017-07-28 |
| 1629591391 | Tenesha Marshall | Counselor | 365 W Reed Rd # A-1, Greenville, MS 38701-6967 | 2017-07-25 |
| 1871016428 | Damon Loren Rappleyea | Counselor | 300 E Arlington Blvd Ste 9a, Greenville, NC 27858-5050 | 2017-07-25 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
Please comment or provide details below to improve the information on PORT HEALTH SERVICES.
| 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.