NPIMap

Organization Active NPI

Martin Tyrrell Washington District Health Department

  • State or Local Public Health Clinic/Center
  • Plymouth, NC
National Provider Identifier
1194706671
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
MARTIN TYRRELL WASHINGTON DISTRICT HEALTH DEPARTMENT
Practice address
198 NC Highway 45 N
Plymouth, NC 27962-9232
Phone
(252) 793-3023
Fax
(252) 791-3159
NPI assigned
Nov 10, 2005
Last updated
Feb 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Authorized official

Name
Nicole Critcher Barnes
Title
Health Director
Phone
(252) 791-3101

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community Health Clinic/Center 261QC1500X
Dental Clinic/Center 261QD0000X
Non-Surgical Family Planning Clinic/Center 261QF0050X
Health Service Clinic/Center 261QH0100X
Medical Specialty Clinic/Center 261QM2500X
State or Local Public Health Clinic/Center 261QP0905X Primary
Primary Care Clinic/Center 261QP2300X
Clinical Medical Laboratory 291U00000X
Clinic Pharmacy 3336C0002X 04443 NC
Clinic Pharmacy 3336C0002X 04441 NC
Clinic Pharmacy 3336C0002X 04442 NC

Addresses

Primary practice location

198 NC Highway 45 N
Plymouth, NC 27962-9232

Mailing address

198 NC Highway 45 N
Plymouth, NC 27962-9232
Phone (252) 793-3023

Other practice location 1

210 W Liberty St
Williamston, NC 27892-1712
Phone (252) 791-3101

Other practice location 2

408 Bridge Street
Columbia, NC 27925
Phone (252) 791-3101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051020000940 NC Part B Supplier - Clinic/Group Practice 8628094646 Receives reassigned benefits from 2 practitioners
Practice locations: Columbia, NC; Plymouth, NC; Williamston, NC

National Provider Directory

National Provider Directory
Tax ID family
Martin-Tyrrell-Washingt13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1194706671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 NC HIGHWAY 45 N",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279629232",
            "telephone_number": "252-793-3023",
            "fax_number": "252-791-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 NC HIGHWAY 45 N",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279629232",
            "telephone_number": "252-793-3023",
            "fax_number": "252-791-3159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 W Liberty St",
            "address_purpose": "LOCATION",
            "city": "Williamston",
            "state": "NC",
            "postal_code": "278921712",
            "country_code": "US",
            "telephone_number": "252-791-3101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "408 Bridge Street",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "NC",
            "postal_code": "27925",
            "country_code": "US",
            "telephone_number": "252-791-3101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARTIN TYRRELL WASHINGTON DISTRICT HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "CRITCHER",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "252-791-3101"
    },
    "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": false
        },
        {
            "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": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "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": true
        },
        {
            "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": "NC",
            "license": "04443",
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NC",
            "license": "04441",
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NC",
            "license": "04442",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.