Organization Active NPI

Paradigm, Inc.

  • Community/Behavioral Health Agency
  • Greenville, NC
National Provider Identifier
1174884399
Registry record updated Oct 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PARADIGM, INC.
Practice address
4003 Old Pactolus Rd
Greenville, NC 27834-0701
Phone
(252) 561-8112
Fax
(252) 561-7455
NPI assigned
Jun 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2017

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

Authorized official

Name
Jason Barnett
Title
Ceo
Phone
(252) 714-1230

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NC Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X

Addresses

Primary practice location

4003 Old Pactolus Rd
Greenville, NC 27834-0701

Mailing address

PO Box 31091
Greenville, NC 27833-1091
Phone (252) 561-8112

Other identifiers 1

IdentifierTypeStateIssuer
3408149MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Paradigm Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507852800000",
    "number": "1174884399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31091",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278331091",
            "telephone_number": "252-561-8112",
            "fax_number": "252-561-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4003 OLD PACTOLUS RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278340701",
            "telephone_number": "252-561-8112",
            "fax_number": "252-561-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-05",
        "last_updated": "2017-10-13",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-714-1230"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408149",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; 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.