Active NPI
Jimmie Wilson Hill, CEO
- Community/Behavioral Health Agency
- New Bern, NC
National Provider Identifier
1013124957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- MHL-069-006
- Practice address
- 554 Halls Creek Rd
New Bern, NC 28560-5722 - Phone
- (252) 745-5761
- Fax
- (252) 745-7750
- NPI assigned
- May 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | MHL-069-006 | NC | |
| Community/Behavioral Health Agency | 251S00000X | MHL-069-006 | NC | Primary |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | MH069-006 | NC | |
| Respite Care | 385H00000X | MHL-069-006 | NC |
Addresses
Primary practice location
554 Halls Creek Rd
New Bern, NC 28560-5722
Mailing address
554 Halls Creek Rd
New Bern, NC 28560-5722
Phone (252) 745-5761
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3409210 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MHL-069-006 | NC | MD | Developmentally Disabled Services Day Training Agency |
| MH069-006 | NC | MD | Intellectual and/or Developmental Disabilities Residential Treatment Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1013124957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "554 HALLS CREEK RD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285605722",
"telephone_number": "252-745-5761",
"fax_number": "252-745-7750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "554 HALLS CREEK RD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285605722",
"telephone_number": "252-745-5761",
"fax_number": "252-745-7750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "JIMMIE",
"middle_name": "WILSON",
"name_prefix": "Mr.",
"credential": "CEO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NC",
"license": "MHL-069-006",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "MHL-069-006",
"primary": true
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NC",
"license": "MH069-006",
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "NC",
"license": "MHL-069-006",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3409210",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.