Individual provider Active NPI

Brianna Nicole Fly, LCSW

  • Clinical Social Worker
  • Winterville, NC
National Provider Identifier
1144839986
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C015606 Issued in NC
Practice address
108 W Fire Tower Rd
Winterville, NC 28590-8371
Phone
(252) 744-8342
Fax
(252) 744-1890
NPI assigned
Jul 28, 2020
Last updated
Apr 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X PENDING NC
Clinical Social Worker 1041C0700X C015606 NC Primary

Addresses

Primary practice location

108 W Fire Tower Rd
Winterville, NC 28590-8371

Mailing address

PO Box 751069
Charlotte, NC 28275-1069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230131001184 NC Practitioner - Clinical Social Worker 0345611331 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PENDINGNCMDNeonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina University CurrentSince Apr 12, 2023 Accepting new patients
Pride in North Carolina, LLC Clinical CurrentSince Jan 18, 2023 Accepting new patients
Pride in North Carolina, LLC CurrentSince Jan 18, 2023 Accepting new patients
East Carolina University Current Accepting new patients

Locations

2150 Herbert Ct
Greenville, NC 27834
Phone (252) 744-4963

231 Commerce St
Greenville, NC 27858
Phone (252) 321-8080

600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111

5710 Oleander Dr
Ste 112
Wilmington, NC 28403
Phone (910) 769-1785

108 W Fire Tower Rd
Winterville, NC 28590
Phone (252) 328-3221

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1144839986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751069",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W FIRE TOWER RD",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285908371",
            "telephone_number": "252-744-8342",
            "fax_number": "252-744-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLY",
        "first_name": "BRIANNA",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winterville, NC

Sources for this page

Verify at the official NPI Registry.