Individual provider Active NPI

Tyrone David

  • Clinical Social Worker
  • Wilson, NC
National Provider Identifier
1285298406
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P013838 Issued in NC
Practice address
105 Douglas St
Wilson, NC 27893
Phone
(919) 848-0132
NPI assigned
Apr 23, 2019
Last updated
Apr 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Social Worker 1041C0700X P013838 NC Primary

Addresses

Primary practice location

105 Douglas St
Wilson, NC 27893

Mailing address

2670 Durham Chapel Hill Blvd
Durham, NC 27707-2829

Other practice location 1

3012 Falstaff Rd
Raleigh, NC 27610-1813
Phone (843) 544-0442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250606001428 NC Practitioner - Clinical Social Worker 1254841505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3000 Highwoods Blvd
Suite 310
Raleigh, NC 27604-1029
Phone (919) 714-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P013838NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Services, LLC CurrentSince May 16, 2025 Accepting new patients
Carter Clinic, P.a. CurrentSince Dec 13, 2020 Accepting new patients
Hope Services, LLC PastSince May 16, 2025 Accepting new patients

Locations

3000 Highwoods Blvd
Ste 310
Raleigh, NC 27604
Phone (919) 714-7500

105 Douglas St S
Wilson, NC 27893

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1285298406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 DURHAM CHAPEL HILL BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 DOUGLAS ST",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "27893",
            "telephone_number": "919-848-0132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3012 Falstaff Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276101813",
            "country_code": "US",
            "telephone_number": "843-544-0442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVID",
        "first_name": "TYRONE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-23",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P013838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.