Organization Active NPI

County of Harnett Dba Harnett County Health Department

  • State or Local Public Health Clinic/Center
  • Lillington, NC
National Provider Identifier
1215048459
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
COUNTY OF HARNETT DBA HARNETT COUNTY HEALTH DEPARTMENT
Practice address
307 W Cornelius Harnett Blvd
Lillington, NC 27546-9335
Phone
(910) 893-7550
Fax
(910) 814-4060
NPI assigned
Aug 31, 2006
Organization subpart
Yes
Parent organization
HARNETT COUNTY HEALTH DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Authorized official

Name
Mrs. Ainsley Nicole Johnson, MSN
Title
Health Director
Phone
(910) 893-7550

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community Health Clinic/Center 261QC1500X
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
Pharmacy 333600000X

Addresses

Primary practice location

307 W Cornelius Harnett Blvd
Lillington, NC 27546-9335

Mailing address

307 W Cornelius Harnett Blvd
Lillington, NC 27546-9335
Phone (910) 893-7550

Other practice location 1

323 E Broad St
Dunn, NC 28334-4922
Phone (910) 893-7550

Other identifiers 5

IdentifierTypeStateIssuer
183296OtherNCMEDCOST
NC3404456MedicaidNC
155383938OtherNCTRICARE
07212OtherNCBCBS
34D0864770OtherNCCLIA

Other names 1

  • Harnett County Health Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130716000176 NC Part B Supplier - Mass Immunization (Roster Biller Only) 3476579012 Practice locations: Lillington, NC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Harnett County Health6 organizations share this tax ID, including this one
Part of
Harnett County Health

Other organizations with this tax ID 5

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

Locations

904 W Edgerton St
Dunn, NC 28334

323 E Broad St
Dunn, NC 28334
Phone (910) 893-7550

307 W Cornelius Harnett Blvd
Lillington, NC 27546
Phone (910) 893-7544

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1215048459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 W CORNELIUS HARNETT BLVD",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275469335",
            "telephone_number": "910-893-7550",
            "fax_number": "910-814-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 W CORNELIUS HARNETT BLVD",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275469335",
            "telephone_number": "910-893-7550",
            "fax_number": "910-814-4060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "323 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Dunn",
            "state": "NC",
            "postal_code": "283344922",
            "country_code": "US",
            "telephone_number": "910-893-7550",
            "fax_number": "910-814-4060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COUNTY OF HARNETT DBA HARNETT COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARNETT COUNTY HEALTH DEPARTMENT",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "AINSLEY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "910-893-7550",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN"
    },
    "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": "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": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "183296",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC3404456",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "155383938",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "07212",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "34D0864770",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harnett County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lillington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.