NPIMap

Organization Active NPI

Pitt County Memorial Hospital Inc

Doing business as ECU Health Medical Center

  • Psychiatric Hospital Unit
  • Greenville, NC
National Provider Identifier
1649252933
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
H0104 Issued in NC
Legal business name
PITT COUNTY MEMORIAL HOSPITAL INC
Doing business as
ECU Health Medical Center
Practice address
2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone
(252) 847-4100
NPI assigned
Nov 14, 2005
Last updated
Jul 29, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
PITT COUNTY MEMORIAL HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Authorized official

Name
Mr. Jay T Briley
Title
President
Phone
(252) 847-5104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X H0104 NC Primary

Addresses

Primary practice location

2100 Stantonsburg Rd
Greenville, NC 27834-2818

Mailing address

PO Box 6028
Greenville, NC 27835-6028
Phone (252) 847-4100

Other identifiers 2

IdentifierTypeStateIssuer
00435OtherNCBCBS
3400040SMedicaidNC

Other names 2

  • ECU Health Medical Center Doing business as
  • Vidant Medical Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080312000198 NC Part A Provider - Hospital 5991615445 Practice locations: Greenville, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649252933. Details of each certification follow.

Hospital certification: CCN 34S040

Legal name
PITT COUNTY MEMORIAL HOSPITAL INC
Doing business as
ECU HEALTH MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Feb 9, 1953 in NC
Enrollment address
2100 Stantonsburg Rd
Greenville, NC 27834-2818
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Pitt County Mem Hosp Crna13 organizations share this tax ID, including this one
Part of
Pitt County Mem Hosp Crna

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 23

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Anthony Cannon Individual Corporate DirectorDirector Sep 17, 2020
Angela a Allen Individual Corporate DirectorDirector Apr 8, 2022
Michael G McLaughlin Individual Corporate DirectorDirector Mar 1, 2023
Philip Wayne Gibbs Individual Corporate DirectorDirector Sep 25, 2023
Andrew Kenneth Zukowski Individual Corporate OfficerCfo Dec 14, 2022
W-2 Managing EmployeeCfo Dec 14, 2022
Demetrius C Carter Individual Corporate DirectorDirector Mar 1, 2023
Roger Davenport Individual Corporate Director Sep 16, 2021
Diane Taylor Individual Corporate DirectorDirector Mar 1, 2019
University Health Systems of Eastern Carolina, Inc. Organization, Greenville, NC Corporation, Non-profit Other Jan 24, 1998
Jay T Briley Individual Corporate OfficerPresident Feb 5, 2024
Christopher Jenkins Individual Corporate DirectorDirector Mar 1, 2021
Anand Tewari Individual Corporate DirectorDirector Mar 1, 2019
William Monk Individual Corporate DirectorDirector Mar 1, 2019
Phillip Dixon Individual Corporate DirectorDirector Mar 2, 2015
Philip Rogers Individual Corporate DirectorDirector Mar 15, 2021
Michael R Waldrum Individual Corporate OfficerCeo of Chain Home Office Jun 1, 2015
Vincent Jones Individual Corporate DirectorDirector Mar 1, 2023
Thomas J Kulikowski Individual Corporate DirectorDirector Mar 1, 2025
Steven Spaanbroek Individual Corporate DirectorDirector Nov 20, 2025
Carlester T Crumpler Individual Corporate DirectorDirector Mar 1, 2014
Deborah Davis Individual Corporate DirectorDirector Jul 23, 2020
Bobby Brian Dunn Individual Corporate OfficerVP, VMC Financial Services Mar 1, 2022
Antoine E Khoury Individual Corporate DirectorDirector Jun 26, 2023

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1649252933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6028",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278356028",
            "telephone_number": "252-847-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 STANTONSBURG RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342818",
            "telephone_number": "252-847-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITT COUNTY MEMORIAL HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PITT COUNTY MEMORIAL HOSPITAL INC",
        "enumeration_date": "2005-11-14",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "BRILEY",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-847-5104",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NC",
            "license": "H0104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00435",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3400040S",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECU Health Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ECU Health Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vidant Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.