Walter B Jones Center Woodside Treatment Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WALTER B JONES CENTER WOODSIDE TREATMENT CENTER

Practice address

2577 W 5TH St
Greenville, NC 27834-7813

Phone

(252) 707-5208

Fax

(252) 707-5267

NPI assigned

Jul 9, 2019

Organization subpart

Yes

Parent organization

WALTER B JONES CENTER WOODSIDE TREATMENT CENTERAs reported in NPPES

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

Authorized official

Name

Natasha Ashmont

Title

Compliance Coordinator

Phone

(919) 855-4703

Specialties & licenses 1

Addresses

Other names 1

• Walter B. Jones Woodside Treatment Center OTP Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Opioid treatment program

Medicare-enrolled since Nov 6, 2020

Enrollment records 1

Tax ID family

Walter B Jones Center2 organizations share this tax ID, including this one

Part of

Walter B Jones Center

Other organizations with this tax ID 1

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

• Walter B Jones Center Woodside Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Greenville, NC
  • NPI 1417496241
  NPD tax ID

Locations

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.

• Walter B Jones Center Woodside Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Greenville, NC
  • NPI 1417496241
  NPPES parent name

Practitioners 4

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

• Mateusz Broszko, M.D.

  • Psychiatry Physician
  • Greenville, NC
  • NPI 1063853182
  NPD
• Rickie Wade Ellis, M.D.

  • Psychiatry Physician
  • Kinston, NC
  • NPI 1831129220
  NPD
• Marshall Craig Simpson, M.D.

  • Family Medicine Physician
  • Winterville, NC
  • NPI 1841366291
  NPD
• Gening Zhu, M.D.

  • Psychiatry Physician
  • Kinston, NC
  • NPI 1154331312
  NPD

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1245892470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2577 W 5TH ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347813",
            "telephone_number": "252-707-5208",
            "fax_number": "252-707-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2577 W 5TH ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347813",
            "telephone_number": "252-707-5208",
            "fax_number": "252-707-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER B JONES CENTER WOODSIDE TREATMENT CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WALTER B JONES CENTER WOODSIDE TREATMENT CENTER",
        "enumeration_date": "2019-07-09",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "ASHMONT",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "COMPLIANCE COORDINATOR",
        "authorized_official_telephone_number": "919-855-4703"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walter B. Jones Woodside Treatment Center OTP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christie Summerlin Walston, FNP
• Ellen M Walston
• Scarlett Jane Walston, DMD
• Walter B Jones Alcohol and Drug Abuse Treatment Center
• Walter B Jones Center Lakeside Psychiatric Hospital
• Walter B Jones Center Woodside Treatment Center
• Bobby Clifton Walters Jr., MD
• Frances Walters, LPA, LMFT
• Tacoiya S Walters
• Rhonda Walton, MS, LPC

• Community/Behavioral Health Agency in Greenville, NC
• Providers in Greenville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.