Active NPI
Greenville Treatment Center, LLC
- Community/Behavioral Health Agency
- Greenville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- GREENVILLE TREATMENT CENTER, LLC
- Practice address
- 2070 W Arlington Blvd
Greenville, NC 27834-3769 - Phone
- (252) 565-8045
- Fax
- (252) 565-8046
- NPI assigned
- Feb 20, 2023
- Last updated
- Feb 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Macy Hamm, J.D.
- Title
- Sponsor/Ceo
- Phone
- (919) 656-1633
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
2070 W Arlington Blvd
Greenville, NC 27834-3769
Mailing address
2070 W Arlington Blvd
Greenville, NC 27834-3769
Phone (252) 565-8045
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2278201 | Greenville Treatment Center | Certificate of waiver | Mar 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
2070 W Arlington Blvd
Greenville, NC 27834
Phone (252) 565-8021
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Addiction (Substance Use Disorder) Counselor
- Jacksonville, NC
- NPI 1831604305
-
- Addiction Medicine (Internal Medicine) Physician
- Jacksonville, NC
- NPI 1003005950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676851200000",
"number": "1396443289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2070 W ARLINGTON BLVD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278343769",
"telephone_number": "252-565-8045",
"fax_number": "252-565-8046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2070 W ARLINGTON BLVD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278343769",
"telephone_number": "252-565-8045",
"fax_number": "252-565-8046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENVILLE TREATMENT CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-20",
"last_updated": "2023-02-20",
"certification_date": "2023-02-20",
"status": "A",
"authorized_official_last_name": "HAMM",
"authorized_official_first_name": "MACY",
"authorized_official_title_or_position": "SPONSOR/CEO",
"authorized_official_telephone_number": "919-656-1633",
"authorized_official_credential": "J.D."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.