Greater Image Healthcare, Corp

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GREATER IMAGE HEALTHCARE, CORP

Practice address

401 Roberson Street
Fayetteville, NC 28301-5423

Phone

(910) 321-0069

Fax

(910) 491-1000

NPI assigned

Apr 9, 2009

Last updated

Jul 15, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Rodney JohnsonNPI 1285132134

Title

Ceo

Phone

(910) 321-0069

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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.

• Donald Jefferson Jackson, MSW LCSW LCAS-A

  • Clinical Social Worker
  • Laurinburg, NC
  • NPI 1942577200
  Medicare reassignment NPD
• James Rashad Parker Jr., LCSW

  • Clinical Social Worker
  • Fayetteville, NC
  • NPI 1215320700
  Medicare reassignment NPD
• Rodney L Johnson, CSAC

  • Addiction (Substance Use Disorder) Counselor
  • Fayetteville, NC
  • NPI 1285132134
  Authorized official Same address or phone
• Jeane D Rhone

  • Addiction (Substance Use Disorder) Counselor
  • Fayetteville, NC
  • NPI 1760651137
  NPD (past)
• Jana Bester Richardson

  • Behavior Technician
  • Cary, NC
  • NPI 1023581667

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1255574034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ROBERSON STREET",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015423",
            "telephone_number": "910-321-0069",
            "fax_number": "910-491-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 ROBERSON STREET",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015423",
            "telephone_number": "910-321-0069",
            "fax_number": "910-491-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Greenhouse Ln",
            "address_purpose": "LOCATION",
            "city": "Southern Pines",
            "state": "NC",
            "postal_code": "283873140",
            "country_code": "US",
            "telephone_number": "910-321-0069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREATER IMAGE HEALTHCARE, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-09",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-321-0069",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457481988",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302847",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508996059",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5919267",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6008694",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Christopher Grayson, DO
• Great Expectation Day Facility and Enrichment Program
• Great Expectations Mental Health Services Inc
• Great Expectations Mental Health Services, Inc.
• Great Minds Think Alike, PLLC
• Greater Image Healthcare, Inc.
• Greater Love Home Care LLC
• Greater Visions Foundation
• Green House Project CDC Inc
• Amanda De'Nee Green-Harrington, LCMHC

• Community/Behavioral Health Agency in Fayetteville, NC
• Providers in Fayetteville, 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 Jul 15, 2020; 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.