NPIMap

Organization Active NPI

Dynamic Group Services

  • Community/Behavioral Health Agency
  • Rocky Mount, NC
National Provider Identifier
1528847761
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DYNAMIC GROUP SERVICES
Doing business as
Dynamic Group Services
Practice address
505 Sunset Ave Ste B
Rocky Mount, NC 27804-5616
Phone
(919) 673-8240
NPI assigned
Sep 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Authorized official

Name
Christina BazemoreNPI 1649522053
Title
President
Phone
(252) 258-5176

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Military Health Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 171000000X
Community/Behavioral Health Agency 251S00000X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

505 Sunset Ave Ste B
Rocky Mount, NC 27804-5616

Mailing address

8911 Elizabeth Bennet PL
Raleigh, NC 27616-9050
Phone (252) 258-5176

Other practice location 1

401 S Pearl St Ste B
Williamston, NC 27892-2707
Phone (196) 738-2409

Other names 1

  • Dynamic Group Services Doing business as

National Provider Directory

National Provider Directory

Locations

505 Sunset Ave
Ste B
Rocky Mount, NC 27804
Phone (919) 673-8240

401 S Pearl St
Ste B
Williamston, NC 27892

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1528847761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8911 ELIZABETH BENNET PL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276169050",
            "telephone_number": "252-258-5176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 SUNSET AVE STE B",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278045616",
            "telephone_number": "919-673-8240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 S Pearl St Ste B",
            "address_purpose": "LOCATION",
            "city": "Williamston",
            "state": "NC",
            "postal_code": "278922707",
            "country_code": "US",
            "telephone_number": "196-738-2409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DYNAMIC GROUP SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "BAZEMORE",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-258-5176"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Group Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.