Green Rural Redevelopment Organization

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

GREEN RURAL REDEVELOPMENT ORGANIZATION

Practice address

300 W Parkview Dr
Henderson, NC 27536-5954

Phone

(252) 226-5355

NPI assigned

Dec 15, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Judith Williams Modeste

Title

Cheif Financial Officer

Phone

(252) 432-5585

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1063376945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W PARKVIEW DR",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275365954",
            "telephone_number": "252-226-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W PARKVIEW DR",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275365954",
            "telephone_number": "252-226-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN RURAL REDEVELOPMENT ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "MODESTE",
        "authorized_official_first_name": "JUDITH WILLIAMS",
        "authorized_official_title_or_position": "CHEIF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "252-432-5585"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Granville-Vance District Health Department
• Nancy Gray-Terry, MSW, LCSW
• Brandon S Gray, COHC
• Lara Royster Gray, AU.D.
• Green & Co. Wellness Collective, PLLC
• Green-Bullock Assisted Living Center
• Shaneicia D Green, LCSW
• Tyree Jonta Green, LCSWA
• Dana Stewardson Greenway, LPC
• Lynne Byerly Griffin, L.C.S.W.

• Community Health Worker in Henderson, NC
• Providers in Henderson, NC by specialty
• Community Health Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.

Verify at the official NPI Registry.