NPIMap

Organization Active NPI

Overseer, LLC

  • Community/Behavioral Health Agency
  • Wadesboro, NC
National Provider Identifier
1205085644
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
OVERSEER, LLC
Practice address
202 Greenwood LN
Wadesboro, NC 28170-2207
Phone
(704) 694-0144
NPI assigned
Sep 10, 2008
Last updated
Sep 10, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
OVERSEER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Authorized official

Name
Mr. Joe Clay Parker
Title
Ceo
Phone
(704) 940-1288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

202 Greenwood LN
Wadesboro, NC 28170-2207

Mailing address

PO Box 1369
Wadesboro, NC 28170-1431

Other identifiers 1

IdentifierTypeStateIssuer
8302046MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Overseer3 organizations share this tax ID, including this one
Part of
Overseer

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1205085644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1369",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281701431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 GREENWOOD LN",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702207",
            "telephone_number": "704-694-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERSEER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OVERSEER, LLC",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "CLAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-940-1288",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302046",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.