DW-N-ER, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

MHL-010-065 Issued in NC

Legal business name

DW-N-ER, INC.

Practice address

75 George T Bryant Rd SE
Bolivia, NC 28422-8903

Phone

(910) 253-7527

Fax

(910) 253-7544

NPI assigned

Sep 22, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Tameka Machae Davis, BA

Title

Director

Phone

(910) 264-5045

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jimmy Bellamy, LCAS

  • Addiction (Substance Use Disorder) Counselor
  • Wilmington, NC
  • NPI 1215194741
  NPD (past)

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1508016015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12221",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277092221",
            "telephone_number": "910-253-7527",
            "fax_number": "910-253-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 GEORGE T BRYANT RD SE",
            "city": "BOLIVIA",
            "state": "NC",
            "postal_code": "284228903",
            "telephone_number": "910-253-7527",
            "fax_number": "910-253-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DW-N-ER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-22",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TAMEKA",
        "authorized_official_middle_name": "MACHAE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-264-5045",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": "MHL-010-065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Susan Desillier, RN
• David Joseph Dibble, D.O.
• Jonaysha Douglas
• Neizel Songalia Durant
• Breanna Lynn Durbin, MD
• East Carolina University
• Selena Anne Ehlert, OTR/L
• Lani Ellis, P.A.-C
• Patricia Ellis, RD
• Patrick Christopher Ellis, MD

• All providers in Bolivia, NC
• Developmentally Disabled Services Day Training Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.