NPIMap

Organization Active NPI

New Hanover Community Health Center Incorporated

Doing business as MedNorth Health Center at Calhoun Drive

  • Federally Qualified Health Center (FQHC)
  • Wilmington, NC
National Provider Identifier
1457512691
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NEW HANOVER COMMUNITY HEALTH CENTER INCORPORATED
Doing business as
MedNorth Health Center at Calhoun Drive
MedNorth at Calhoun
Practice address
240 Calhoun Dr
Wilmington, NC 28412-6202
Phone
(910) 343-0270
Fax
(910) 251-1540
NPI assigned
Jun 20, 2008
Last updated
Jan 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Authorized official

Name
Althea Annette Johnson
Title
Ceo
Phone
(910) 202-8623

Specialties & licenses 1

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

Addresses

Primary practice location

240 Calhoun Dr
Wilmington, NC 28412-6202

Mailing address

925 N 4TH St
Wilmington, NC 28401-3450
Phone (910) 343-0270

Other identifiers 1

IdentifierTypeStateIssuer
2576403OtherNCMEDICARE CIGNA PIN

Other names 2

  • MedNorth Health Center at Calhoun Drive Doing business as
  • MedNorth at Calhoun Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040107000773 NC Part B Supplier - Clinic/Group Practice 1153220215 Receives reassigned benefits from 31 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wilmington, NC
O20141118000292 NC Part A Provider - Federally Qualified Health Center (FQHC) 1153220215 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wilmington, NC
O20250611001561 NC Part A Provider - Federally Qualified Health Center (FQHC) 1153220215 Practice locations: Wilmington, NC

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1457512691. Details of each certification follow.

Federally qualified health center certification: CCN 341840

Legal name
NEW HANOVER COMMUNITY HEALTH CENTER INCORPORATED
Doing business as
MEDNORTH HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 6, 1993
Last certification
Jan 6, 1993
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Aug 26, 1993 in NC
Enrollment address
925 N 4TH St
Wilmington, NC 28401-3450

Federally qualified health center certification: CCN B61066

Legal name
NEW HANOVER COMMUNITY HEALTH CENTER INCORPORATED
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 11, 2025
Last certification
Jun 11, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
240 Calhoun Dr
Wilmington, NC 28412-6202

Federally qualified health center certification: CCN 341922

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
NEW HANOVER COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 27, 2007
Last certification
Sep 27, 2007
Ownership / control type
For profit – corporation
Facility address
240 Calhoun Drive
Wilmington, NC 28412

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 1

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

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
34D2297558Mednorth at Calhoun Drive240 Calhoun Drive, Wilmington, NC 28412Certificate of waiverJan 17, 2028

National Provider Directory

National Provider Directory

Locations

240 Calhoun Dr
Wilmington, NC 28412
Phone (910) 202-8656

945 N 4TH St
Wilmington, NC 28401

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Joseph a Pino Individual Corporate Director Jan 1, 2020
Corporate DirectorBoard Member Dec 1, 2018
Stephen Stein Individual Corporate Director Jan 1, 2020
Corporate DirectorBoard Treasurer Jan 1, 2020
Willie K Guion Individual Corporate Director Jan 1, 2020
Corporate DirectorBoard Member Jan 1, 2018
Betty Murphy Jacobs Individual Corporate Director Jan 1, 2020
Corporate DirectorBoard Member Jun 1, 2022
Sonya M Peele Individual Corporate Director Dec 1, 2022
Corporate DirectorBoard Chair Dec 1, 2022
Althea a Johnson Individual Corporate OfficerCeo Jan 1, 2016 100%
W-2 Managing EmployeeAd; Jan 1, 2016 100%
Corporate OfficerChief Executive Officer Jan 1, 2016
W-2 Managing EmployeeChief Executive Officer Jan 1, 2016
Elveta Denise Smith Individual Corporate Director Jan 1, 2020
Corporate DirectorBoard Secretary Jun 1, 2022
Michael Anthony Ballard Individual Corporate Director Jan 1, 2020
Corporate DirectorBoard Vice Chair Nov 1, 2019
Mireya Lupercio Individual Corporate Director Nov 1, 2023
Corporate DirectorBoard Member Nov 1, 2023
Janet Negron Stroughton Individual Corporate OfficerCoo Sep 17, 2017
Corporate OfficerChief Operating Officer Sep 17, 2017
Francine Bondos Individual Corporate OfficerCfo May 2, 2023
Corporate OfficerChief Financial Officer May 2, 2023
Monica Gene Jones Individual Corporate DirectorBoard Member Apr 1, 2025
Halee Anika Morris Individual Corporate DirectorBoard Member May 1, 2024
Jacqueline Colleen Siers Individual Corporate DirectorBoard Member Nov 1, 2024

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 48

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.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1457512691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 N 4TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284013450",
            "telephone_number": "910-343-0270",
            "fax_number": "910-251-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 CALHOUN DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284126202",
            "telephone_number": "910-343-0270",
            "fax_number": "910-251-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HANOVER COMMUNITY HEALTH CENTER INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ALTHEA",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-202-8623"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CIGNA PIN",
            "identifier": "2576403",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedNorth Health Center at Calhoun Drive",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MedNorth at Calhoun",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MedNorth at Calhoun",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.