Nags Head Treatment Center LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NAGS HEAD TREATMENT CENTER LLC

Practice address

2224 S Croatan Hwy # a
Nags Head, NC 27959-8813

Phone

(252) 715-6556

Fax

(252) 715-6558

NPI assigned

Jan 31, 2020

Last updated

Oct 30, 2023By 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

Macy Hamm, J.D., LCASNPI 1831604305

Title

Sponsor/Ceo

Phone

(919) 656-1633

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Opioid treatment program

Medicare-enrolled since Dec 28, 2022

Enrollment records 1

Locations

Practitioners 2

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.

• Macy Melissa Hamm, LCAS

  • Addiction (Substance Use Disorder) Counselor
  • Jacksonville, NC
  • NPI 1831604305
  Authorized official Same address or phone
• Jean Basnight, DO

  • Family Medicine Physician
  • Havelock, NC
  • NPI 1891783056
  NPD

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1710518378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 SILVER OAKS CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276149359",
            "telephone_number": "919-656-1633",
            "fax_number": "919-706-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 S CROATAN HWY # A",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279598813",
            "telephone_number": "252-715-6556",
            "fax_number": "252-715-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAGS HEAD TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-31",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "HAMM",
        "authorized_official_first_name": "MACY",
        "authorized_official_title_or_position": "SPONSOR/CEO",
        "authorized_official_telephone_number": "919-656-1633",
        "authorized_official_credential": "J.D., LCAS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Montaban, PT
• John David Moore II, LCPC
• Linda Frances Morway, M.D.
• Luis A Muniz, HS1
• Mymd Personal Family Care, PLLC
• Ocean View Medical
• Anna B Oprea, PA-C
• Outer Bank Hospital Inc (The Outer Banks Hospital)
• Outer Banks Acupuncture, PLLC
• Outer Banks Dermatology

• Community/Behavioral Health Agency in Nags Head, NC
• Providers in Nags Head, 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 Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.