Neogenesis, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NEOGENESIS, LLC

Practice address

500 Dexter St
Suite B
Greenville, NC 27834-6318

Phone

(252) 717-4074

NPI assigned

Jun 20, 2008

Last updated

Mar 23, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kendrick Juvan Britton Sr.

Title

Owner

Phone

(252) 717-4074

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300838400000",
    "number": "1558522698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 DEXTER ST",
            "address_2": "SUITE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278346318",
            "telephone_number": "252-717-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 DEXTER ST",
            "address_2": "SUITE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278346318",
            "telephone_number": "252-717-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEOGENESIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2011-03-23",
        "status": "A",
        "authorized_official_last_name": "BRITTON",
        "authorized_official_first_name": "KENDRICK",
        "authorized_official_middle_name": "JUVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-717-4074",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashli Nelson
• Hannah Marie Nelson, AUD
• Keith H Nelson, MD
• Walter Roger Nelson, F.N.P.
• Zenith Nelson, PA-C
• Janae Nester
• Neurosalud Wellness PLLC
• Audresha Nevels
• Maria Vasylievna Neverova, MD
• Charla Neville, MSW, LCSW

• Community/Behavioral Health Agency in Greenville, NC
• Providers in Greenville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.