Tarboro Endoscopy Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 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

Last updated

Jul 29, 2025By 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

Billie Jo Addington

Title

Administrator

Phone

(252) 824-1407

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Listed as

Tarboro Endoscopy Center LLCCCN 34C0001170

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

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

  Member Of

  NPD member
• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731

  Member Of

  NPD member

Locations

Practitioners 4

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.

• Bradford Karsten Bilicki, D.O.

  • Surgery Physician
  • Tarboro, NC
  • NPI 1114142213
  Medicare reassignment NPD
• Mark Petruzziello, M.D.

  • Surgery Physician
  • Tarboro, NC
  • NPI 1336129535
  Medicare reassignment NPD
• Jason Scott Webb, CRNA

  • Certified Registered Nurse Anesthetist
  • Morehead City, NC
  • NPI 1902099971
  Medicare reassignment NPD
• Gilbert Alligood, M.D.

  • Adolescent Medicine (Internal Medicine) Physician
  • Middlesex, NC
  • NPI 1588644157
  NPD

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1598093007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CLINIC DR",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278861935",
            "telephone_number": "252-824-1407",
            "fax_number": "252-823-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CLINIC DR",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278861935",
            "telephone_number": "252-824-1419",
            "fax_number": "252-823-3164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARBORO ENDOSCOPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-20",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "ADDINGTON",
        "authorized_official_first_name": "BILLIE JO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-824-1407"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarboro Chemists, Inc. (Bryan Drugs)
• Tarboro Chiropractic Inc.
• Tarboro Clinic
• Tarboro Clinic Optical
• Tarboro Clinic PA
• Tarboro Eye Associates OD PLLC
• Tarboro Eye Associates Optometry PLLC
• Tarboro Health and Rehabilitation, LLC
• Tarboro Internal Medicine of North Carolina, PA
• Tarboro Internal Medicine PA

• Ambulatory Surgical Clinic/Center in Tarboro, NC
• Providers in Tarboro, NC by specialty
• Ambulatory Surgical Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (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.