County of Anson

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

COUNTY OF ANSON

Practice address

110 E Ashe St
Wadesboro, NC 28170-2702

Phone

(704) 694-5188

Fax

(704) 694-9067

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Brian Ellerby

Title

Health Director

Phone

(704) 694-5188

Specialties & licenses 9

Addresses

Other identifiers 4

Other names 1

• ANSON COUNTY HEALTH DEPARTMENT Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• County of Anson

  • Land Ambulance
  • Wadesboro, NC
  • NPI 1770530123

  5799734455

  Same PAC ID

Tax ID family

Anson County Health Dep4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• County of Anson

  • Non-emergency Medical Transport (VAN)
  • Wadesboro, NC
  • NPI 1013269380
  NPD tax ID
• County of Anson

  • Federal Public Health Clinic/Center
  • Wadesboro, NC
  • NPI 1205062551
  NPD tax ID
• County of Anson

  • Land Ambulance
  • Wadesboro, NC
  • NPI 1770530123
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory Bracewell, MD

  • Obstetrics & Gynecology Physician
  • Kannapolis, NC
  • NPI 1316997497

  NC

  Medicare reassignment NPD
• Lisa Elaine Bracey, MD

  • Family Medicine Physician
  • Wadesboro, NC
  • NPI 1770547911
  NPD (past)
• Lynn Joanne Hernandez, M.D.

  • Family Medicine Physician
  • Monroe, NC
  • NPI 1497713820
  NPD (past)
• Jermaine Angela Joefield, M.D.

  • Family Medicine Physician
  • Maiden, NC
  • NPI 1164505400
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1154418754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 473",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281700473",
            "telephone_number": "704-694-5188",
            "fax_number": "704-694-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E ASHE ST",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702702",
            "telephone_number": "704-694-5188",
            "fax_number": "704-694-9067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF ANSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "ELLERBY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "704-694-5188"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7783189",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS, CIGNA",
            "identifier": "56600273",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE9154",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404465",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANSON COUNTY HEALTH DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cornerstone Treatment Facility Inc
• Cornerstone Treatment Facility, Inc.
• Cornerstone Treatment Facility, Inc.
• Cornerstone Treatment Facility, Inc.
• County of Anson
• County of Anson
• County of Anson
• Covington Optometric Eye Clinic, P.a.
• Yolanda N. Crowder
• Darkhorse Incorparted

• All providers in Wadesboro, NC
• Community Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.