Tarboro Endoscopy Center, LLC

Key facts

NPI: 1598093007
Entity type: Organization (NPI type 2)
Primary specialty: Ambulatory Surgical Clinic/Center 261QA1903X
Legal business name: TARBORO ENDOSCOPY CENTER, LLC
Practice address: 201 Clinic Dr
Tarboro, NC 27886-1935
Phone: (252) 824-1419
Fax: (252) 823-3164
NPI assigned: Nov 20, 2009
Organization subpart: No

Authorized official

Name: Billie Jo Addington
Title: Administrator
Phone: (252) 824-1407

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Tarboro Clinic PA Internal Medicine Physician · Tarboro, NC · NPI 1649380916

NPD member Member Of
Vidant Medical Group, LLC Cardiac Rehabilitation Clinic/Center · Roanoke Rapids, NC · NPI 1750125035

NPD member Member Of

Practitioners 4

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

Bradford Karsten Bilicki, D.O. Surgery Physician · Tarboro, NC · NPI 1114142213

Medicare reassignment NPD NC
Mark Petruzziello, M.D. Surgery Physician · Tarboro, NC · NPI 1336129535

Medicare reassignment NPD NC
Jason Scott Webb, CRNA Certified Registered Nurse Anesthetist · Morehead City, NC · NPI 1902099971

Medicare reassignment NPD NC
Gilbert Alligood, M.D. Adolescent Medicine (Internal Medicine) Physician · Middlesex, NC · NPI 1588644157

NPD

Medicare Care Compare: Ambulatory surgical center

Listed as: Tarboro Endoscopy Center LLC CCN 34C0001170
Medicare certification status: Active (Provider of Services file)

Source: Medicare Care Compare.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
34D2003228	Tarboro Endoscopy Center 201 Clinic Drive, Tarboro, NC 27886	Certificate of waiver	Feb 3, 2028

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NC

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20100319000301	NC	Part B Supplier - Ambulatory Surgical Center	2668507328	Receives reassigned benefits from 3 practitioners Practice locations: Tarboro, NC

National Provider Directory

Locations

201 Clinic Dr
Tarboro, NC 27886
Phone (252) 563-1036

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Ambulatory Surgical Clinic/Center	261QA1903X			Yes

Addresses

Primary practice location

201 Clinic Dr
Tarboro, NC 27886-1935

Mailing address

101 Clinic Dr
Tarboro, NC 27886-1935
Phone (252) 824-1407

Other providers in Tarboro, NC

All providers in Tarboro, NC · Ambulatory Surgical Clinic/Center in North Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (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.