County of Davidson

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

COUNTY OF DAVIDSON

Doing business as

Davidson County Health Dept- CAP-C

Practice address

915 N Greensboro St.
Lexington, NC 27292-2699

Phone

(336) 242-2300

Fax

(336) 242-2485

NPI assigned

Jan 31, 2007

Reactivated

Dec 24, 2008

Last updated

Mar 30, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

COUNTY OF DAVIDSONAs reported in NPPES

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

Authorized official

Name

Mrs. Lillian Koontz, M.P.A, R.E.H.S

Title

Health Director

Phone

(336) 242-2349

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Davidson County Health Dept- CAP-C Doing business as

Tax ID family

Davidson County Department of Senior Services6 organizations share this tax ID, including this one

Part of

Davidson County Department of Senior Services

Other organizations with this tax ID 5

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

• County of Davidson

  dba Davidson County Health Department-BCBS Imm

  • State or Local Public Health Clinic/Center
  • Lexington, NC
  • NPI 1063705267
  NPD tax ID
• County of Davidson

  dba Davidson County Ambulance

  • Land Ambulance
  • Lexington, NC
  • NPI 1205969292
  NPD tax ID
• County of Davidson

  dba Davidson Co Health Dept-Clinical Services

  • State or Local Public Health Clinic/Center
  • Lexington, NC
  • NPI 1366589483
  NPD tax ID
• Davidson County

  • Social Worker
  • Lexington, NC
  • NPI 1841359312
  NPD tax ID
• Davidson County Department of Senior Services

  • Case Manager/Care Coordinator
  • Lexington, NC
  • NPI 1366562555
  NPD tax ID

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1336286053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 439",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272930439",
            "telephone_number": "336-242-2300",
            "fax_number": "336-242-2485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N GREENSBORO ST.",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272922699",
            "telephone_number": "336-242-2300",
            "fax_number": "336-242-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF DAVIDSON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF DAVIDSON",
        "enumeration_date": "2007-01-31",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "deactivation_date": "2008-03-07",
        "reactivation_date": "2008-12-24",
        "status": "A",
        "authorized_official_last_name": "KOONTZ",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "336-242-2349",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.P.A, R.E.H.S"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408658",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davidson County Health Dept- CAP-C",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Davidson County Health Dept- CAP-C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Beth Corum, LPTA
• Lorena McFadden Cosentino, CRNA
• Cotton Grove Family Physicians, PLLC
• County of Davidson (Davidson County Health Department-BCBS Imm)
• County of Davidson (Davidson County Ambulance)
• County of Davidson (Davidson Co Health Dept-Clinical Services)
• Mark R Cowan, DMD
• Ivy Cranford
• Alina Dominguez Craven, LCSW
• Creative Conversations Therapy and Supervision PLLC

• Case Management Agency in Lexington, NC
• Providers in Lexington, NC by specialty
• Case Management Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.