Greater Metrolina Mental Health Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GREATER METROLINA MENTAL HEALTH SERVICES, INC.

Practice address

609 S New Hope Rd
Suite 103
Gastonia, NC 28054-4876

Phone

(704) 865-5613

Fax

(704) 865-5614

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Shannon Davis

Title

Director

Phone

(704) 865-5613

Specialties & licenses 2

Addresses

Other identifiers 3

Tax ID family

Greater Metrolina Mental Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Greater Metrolina Mental Health Services

  • Case Management Agency
  • Gastonia, NC
  • NPI 1689978686
  NPD tax ID

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1730216656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280530219",
            "telephone_number": "704-865-5613",
            "fax_number": "704-865-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 S NEW HOPE RD",
            "address_2": "SUITE 103",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544876",
            "telephone_number": "704-865-5613",
            "fax_number": "704-865-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER METROLINA MENTAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-865-5613",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300186B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005583",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300186",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Great Works Private Care LLC
• Greater Charlotte Oral & Facial Surgery
• Greater Developmental Achievements
• Greater Harvest Homes LLC
• Greater Metrolina Mental Health Services
• James Greelish, MD
• Mark David Greemon, PA-C
• Emily Ross Green, MA
• Jessie Holbrook Green, MSW, LCSW
• Katie Monique Green, DNP, FNP-BC

• Community/Behavioral Health Agency in Gastonia, NC
• Providers in Gastonia, 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 May 12, 2008; 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.