NPIMap

Organization Active NPI

Paradigm, Inc.

  • Community/Behavioral Health Agency
  • Winterville, NC
National Provider Identifier
1184927089
Registry record updated Oct 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-074-209 Issued in NC
Legal business name
PARADIGM, INC.
Practice address
4054 S Memorial Dr Ste J&K
Winterville, NC 28590-5839
Phone
(252) 561-8112
NPI assigned
Dec 15, 2010
Last updated
Oct 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2017

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-074-209 NC Primary

Addresses

Primary practice location

4054 S Memorial Dr Ste J&K
Winterville, NC 28590-5839

Mailing address

PO Box 31091
Greenville, NC 27833-1091

Other identifiers 2

IdentifierTypeStateIssuer
3408149MedicaidNC
8301107SMedicaidNC

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

Locations

4054 S Memorial Dr
Ste Jk
Winterville, NC 28590

NPI Registry JSON

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1184927089",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4054 S MEMORIAL DR STE J&K",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285905839",
            "telephone_number": "252-561-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2017-10-17",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "TREMAIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-714-1230",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-074-209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408149",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301107S",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winterville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.