Granville-Vance District Health Department

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

GRANVILLE-VANCE DISTRICT HEALTH DEPARTMENT

Practice address

1032 College St
Oxford, NC 27565-2507

Phone

(919) 693-2141

Fax

(919) 693-8517

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Shauna Leigh GuthrieNPI 1609004936

Title

Health Director

Phone

(919) 693-2141

Specialties & licenses 10

Addresses

Other identifiers 6

Other names 1

• Clinical Services Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 13

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

• Shauna Leigh Guthrie, M.D.

  • Family Medicine Physician
  • Oxford, NC
  • NPI 1609004936
  NPD (past) Authorized official
• Mary Dobelstein Constantino, MSW

  • Clinical Social Worker
  • Oxford, NC
  • NPI 1821373648
  NPD (past)
• Margo Faulk, MD, MPH

  • Family Medicine Physician
  • Oxford, NC
  • NPI 1265053714
  NPD (past)
• Melanie H. Griggs, LPC

  • Professional Counselor
  • Oxford, NC
  • NPI 1396895132
  NPD (past)
• Linda Cox Hughes, FNP-BC

  • Family Nurse Practitioner
  • Oxford, NC
  • NPI 1548519077
  NPD (past)
• David M Lambert, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Durham, NC
  • NPI 1205984341
  NPD (past)
• Margaret Gehring Mickelson, RD

  • Registered Dietitian
  • Oxford, NC
  • NPI 1821501289
  NPD (past)
• Navid Nesab, DDS

  • General Practice Dentistry
  • Moncure, NC
  • NPI 1255824520
  NPD (past)
• La'Shanda Michelle Person, LCASA

  • Addiction (Substance Use Disorder) Counselor
  • Henderson, NC
  • NPI 1841930427
  NPD (past)
• Carmen Samuel-Hodge

  • Registered Dietitian
  • Oxford, NC
  • NPI 1366977373
  NPD (past)
• Peyton Roberson Satterwhite, FNP-BC

  • Family Nurse Practitioner
  • Oxford, NC
  • NPI 1063025237
  NPD (past)
• Abigail Kenney, FNP-C

  • Nurse Practitioner
  • Shiloh, IL
  • NPI 1679103782
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1184783409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275650367",
            "telephone_number": "919-693-2141",
            "fax_number": "919-693-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 COLLEGE ST",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275652507",
            "telephone_number": "919-693-2141",
            "fax_number": "919-693-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANVILLE-VANCE DISTRICT HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "GUTHRIE",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "919-693-2141"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "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": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical 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": "BCBS-GRANVILLE",
            "identifier": "0721N",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - VANCE",
            "identifier": "0721P",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404391",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404416",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA # HEALTH DEPARTMENT",
            "identifier": "34DO865330",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404339",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinical Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clinical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Granville Health System
• Granville Health System
• Granville Health System Endoscopy Center LLC
• Granville House
• Granville Opco, LLC
• Granville-Vance District Health Department
• Granville-Vance District Health Department
• Stefan Greenlee, PT
• Alisa Zenora Gregory
• Amy Gregory

• All providers in Oxford, 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 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.