Organization Active NPI

Greenville Treatment Center, LLC

  • Community/Behavioral Health Agency
  • Greenville, NC
National Provider Identifier
1396443289
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Authorized official

Name
Macy Hamm, J.D.NPI 1831604305
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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2278201Greenville Treatment Center2070 W Arlington Blvd, Greenville, NC 27834Certificate of waiverMar 13, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.