NPIMap

Organization Active NPI

Metropolitan Community Health Services, Inc.

Doing business as Agape Health Services- Plymouth

  • Federally Qualified Health Center (FQHC)
  • Plymouth, NC
National Provider Identifier
1326627399
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
METROPOLITAN COMMUNITY HEALTH SERVICES, INC.
Doing business as
Agape Health Services- Plymouth
Practice address
115 Adams St
Plymouth, NC 27962-1307
Phone
(252) 741-3421
NPI assigned
Apr 6, 2021
Last updated
May 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Authorized official

Name
Mr. Laurence J Doby
Title
Executive Director
Phone
(252) 644-7003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

115 Adams St
Plymouth, NC 27962-1307

Mailing address

115 Adams St
Plymouth, NC 27962-1307
Phone (252) 789-0401

Other names 1

  • AGAPE HEALTH SERVICES- PLYMOUTH Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040630000822 NC Part B Supplier - Clinic/Group Practice 9931010881 Receives reassigned benefits from 46 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Williamston, NC; Washington, NC; Plymouth, NC
O20220830004231 NC Part A Provider - Federally Qualified Health Center (FQHC) 9931010881 Practice locations: Plymouth, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326627399. Details of each certification follow.

Federally qualified health center certification: CCN 341174

Legal name
METROPOLITAN COMMUNITY HEALTH SERVICES INC
Doing business as
AGAPE HEALTH SERVICES- PLYMOUTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 30, 2022
Last certification
Aug 30, 2022
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 30, 1999 in NC
Enrollment address
115 Adams St
Plymouth, NC 27962-1307

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Metropolitan Community Health Services Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

113 Adams St
Plymouth, NC 27962

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Laurence J Doby Individual Operational/Managerial ControlExecutive Director May 13, 2009 100%
Michael L McDuffie Individual Corporate OfficerChief Executive Officer Jun 23, 2014 100%
Operational/Managerial ControlChief Operating Officer Jun 23, 2014 100%
Metropolitan Community Health Services Inc Organization, Washington, NC Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2022 100%

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Agape Community Health CenterWilliamston, NC, CCN 341021 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jun 14, 2013
Agape Health Services Mobile UnitWashington, NC, CCN 341179 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 1999
Agape Health Services - Carolina AvenueWashington, NC, CCN B61073 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 16, 2025

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1326627399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 ADAMS ST",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279621307",
            "telephone_number": "252-789-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 ADAMS ST",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279621307",
            "telephone_number": "252-741-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN COMMUNITY HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-06",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "DOBY",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "252-644-7003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AGAPE HEALTH SERVICES- PLYMOUTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AGAPE HEALTH SERVICES- PLYMOUTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plymouth, NC

Sources for this page

Verify at the official NPI Registry.