Organization Active NPI

Ehg of NC LLC

  • Substance Abuse Rehabilitation Facility
  • Wilmington, NC
National Provider Identifier
1205659588
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
EHG OF NC LLC
Practice address
2106 S 17TH St
Wilmington, NC 28401-7408
Phone
(704) 838-9222
NPI assigned
Nov 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Authorized official

Name
Dustin Johnson
Title
Member
Phone
(704) 450-2117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

2106 S 17TH St
Wilmington, NC 28401-7408

Mailing address

4009 Masonboro Loop Rd
Wilmington, NC 28409-3640
Phone (704) 450-2117

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1205659588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 MASONBORO LOOP RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284093640",
            "telephone_number": "704-450-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017408",
            "telephone_number": "704-838-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EHG OF NC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-05",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "704-450-2117"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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.