Prime Agency LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PRIME AGENCY LLC

Practice address

111 E 3Rd St
Greenville, NC 27858-1803

Phone

(252) 714-2369

NPI assigned

Aug 7, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Annette Johnson

Title

President/Owner

Phone

(252) 714-2369

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1312675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312675200000",
    "number": "1326327461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 3RD ST STE 2",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278581803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 3RD ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278581803",
            "telephone_number": "252-714-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-07",
        "last_updated": "2011-08-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "252-714-2369",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261QM0801X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veronica Dalton Price
• William L Price, MD
• Richard Michael Priddy, PA-C
• Pride in North Carolina, LLC
• Pride in North Carolina, LLC
• Mindy Prince, PHARMD
• Mary Kathleen Printz, NURSE PRACTITIONER
• Priorities ABA, PLLC
• Kenneth Scott Pritchard, LCMHC, LCAS, QS, CSI
• Douglas Craig Privette, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Greenville, NC
• Providers in Greenville, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2011; 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.