County of Edgecombe Office of Auditor

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

COUNTY OF EDGECOMBE OFFICE OF AUDITOR

Doing business as

Edgecombe County Health Department

Practice address

122 E Saint James St
Tarboro, NC 27886-5016

Phone

(252) 641-7531

Fax

(252) 641-7565

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

Michelle Brumfield Etheridge

Title

Interim Health Director

Phone

(252) 824-3654

Specialties & licenses 13

Addresses

Other identifiers 3

Other names 1

• Edgecombe County Health Department Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• County of Edgecombe Office of Auditor

  dba Edgecombe County EMS

  • Land Ambulance
  • Tarboro, NC
  • NPI 1972685584

  6204723497

  Same PAC ID

Locations

Practitioners 5

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.

• Raj Vinod Patel, M.D.

  • Emergency Medicine Physician
  • Washington, NC
  • NPI 1578859716
  Medicare reassignment Care Compare group NPD
• Jevita Denise Terry, FNP-BC

  • Family Nurse Practitioner
  • Rocky Mount, NC
  • NPI 1508016908
  Medicare reassignment Care Compare group NPD
• Steven Carl Spruill, MD

  • Obstetrics & Gynecology Physician
  • Greenville, NC
  • NPI 1457336588
  Medicare reassignment NPD
• Christie Summerlin Walston, FNP

  • Nurse Practitioner
  • Greenville, NC
  • NPI 1225778624
  Medicare reassignment NPD
• James Winslow, M.D.

  • Family Medicine Physician
  • Tarboro, NC
  • NPI 1861462517
  Medicare reassignment NPD

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1770610602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278860100",
            "telephone_number": "252-641-7511",
            "fax_number": "252-641-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E SAINT JAMES ST",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278865016",
            "telephone_number": "252-641-7531",
            "fax_number": "252-641-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF EDGECOMBE OFFICE OF AUDITOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "ETHERIDGE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "BRUMFIELD",
        "authorized_official_title_or_position": "INTERIM HEALTH DIRECTOR",
        "authorized_official_telephone_number": "252-824-3654"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NC",
            "license": "34DO865324",
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NC",
            "license": "04795",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0706A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404449",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404333",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edgecombe County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Comprehensive Behavior Health Services, LLC
• Convenience Home Care Services
• Marvin David Coulthard, M.A., L.P.A.
• County of Edgecombe Office of Auditor (Edgecombe County Health Department)
• County of Edgecombe Office of Auditor (Edgecombe Homecare & Hospice)
• County of Edgecombe Office of Auditor
• County of Edgecombe Office of Auditor (Edgecombe County EMS)
• Karen Coward, M.D.
• Jerry Evan Coy, CRNA
• Created for This Doula Services LLC

• State or Local Public Health Clinic/Center in Tarboro, NC
• Providers in Tarboro, NC by specialty
• State or Local Public Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.