Columbus Regional Healthcare System
Organization Active NPI General Acute Care Hospital · Whiteville, NC
NPI 1376537555 · NPPES record last updated Jun 13, 2025
Key facts
- NPI
- 1376537555
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- H0045 (NC)
- Legal business name
- COLUMBUS REGIONAL HEALTHCARE SYSTEM
- Practice address
- 500 Jefferson St
Whiteville, NC 28472-3634 - Phone
- (910) 642-8011
- Fax
- (910) 642-9328
- NPI assigned
- Sep 2, 2005
- Organization subpart
- No
Authorized official
- Name
- Marvin Armstrong
- Title
- Coo
- Phone
- (910) 642-8011
Other NPIs with the same Medicare PAC ID 1
Member organizations 1
Related certifications (CCN) 1
Practitioners 189
-
Shannon Hester Alley, DNP,FNP-C
-
David James Allison, M.D.
-
Harry T Ameredes, M.D.
-
Jon Robert Ball, CRNA
-
Demir E Bastug, M.D.
-
Alex David Bibbey, M.D.
-
Bryan Cole Chalk, CRNA
-
Andrew Bryant Collins, APRN
-
Jonathan Trent Cuevas, CRNA
-
Bruce Michael Distell, M.D.
-
Inga Edwin, M.D.
-
Max Henry Faykus Jr., M.D.
-
Brad Edward Field, CRNA
-
David R Fisher, M.D.
-
Raymond A Gaskins Jr., M.D.
-
Ryan Holland, MD
-
Jeffrey M Kotzan, M.D.
-
Christopher Matthew Long, M.D./PH.D.
Affiliated clinicians 277
-
Magd Akel, MD
-
Vellayat Ali, MD
-
Shannon Hester Alley, DNP,FNP-C
-
Harry T Ameredes, M.D.
-
Fadi Asfahan, MD
-
Tracy E Ayers, MD
-
Jon Robert Ball, CRNA
-
Peggy S Barnhill, MD
-
Demir E Bastug, M.D.
-
John D. Beaver, NP
-
Faith Beking, FNP
-
Richard Garth Berry, MD, FACP, FACGS
-
Viola Elizabeth Blackwell, FNP-C
-
Haydee Bourne, FNP
Medicare Care Compare: Hospital
- Listed as
- Columbus Regional Healthcare System
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Other
- Medicare certification status
- Active
- Emergency services
- Yes
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D0246093 | Columbus Regional Healthcare System Lab | Accreditation | Feb 27, 2027 |
| 34D0686254 | Columbus Regional Healthcare System CPS | Accreditation | Feb 27, 2027 |
| 34D2166720 | Columbus Regional Healthcare | Certificate of waiver | May 22, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC
Hospital certification: CCN 340068
- Legal name
- COLUMBUS REGIONAL HEALTHCARE SYSTEM
- Doing business as
- COLUMBUS COUNTY HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Mar 17, 1998
- Beds
- 166
- Ownership / control type
- Other
- Organization structure
- Corporation · Non-profit
- Incorporated
- Sep 21, 2004 in NC
- Enrollment address
- 500 Jefferson Street
Whiteville, NC 28472-3634 - Hospital subgroups
- General, Acute care
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Kimberly S Gore |
Corporate Director |
Oct 1, 2011 | |
| W-2 Managing Employee | Jul 12, 2010 | ||
| Marvin Armstrong |
Corporate Officer |
Mar 9, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040823001463 | NC | Part B Supplier - Clinic/Group Practice | 2961312228 |
Receives reassigned benefits from 174 practitioners Practice locations: Whiteville, NC |
| O20101005000627 | NC | Part a Provider - Hospital | 2961312228 | Practice locations: Whiteville, NC |
National Provider Directory
Locations
14508 James B White Hwy S
#5
Tabor City, NC 28463
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | H0045 | NC | Yes |
Addresses
Primary practice location
500 Jefferson St
Whiteville, NC 28472-3634
Mailing address
500 Jefferson St
Whiteville, NC 28472-3634
Phone (910) 642-8011
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A000001DAGTYEAR | Other | NC | EHR CERTIFICATION NUMBER |
| 3400068 | Medicaid | NC |
Other names
- South Columbus Medical Clinic
Other providers in Whiteville, NC
- Columbus Regional Health Network
- Columbus Regional Health Network
- Columbus Regional Health Network
- Columbus Regional Healthcare System
- Columbus Regional Healthcare System
- Columbus Regional Healthcare System
- Columbus Rural Health Center, Inc
- Columbus Testing LLC
- Community Home Care of Robeson County, LLC
- Community Innovations
All providers in Whiteville, NC · General Acute Care Hospital in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.