NPIMap

Organization Active NPI

Port Human Services

  • Clinical Social Worker
  • Greenville, NC
National Provider Identifier
1780734988
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
MHL-074-150 Issued in NC
Legal business name
PORT HUMAN SERVICES
Practice address
2269 Stantonsburg Road
Greenville, NC 27834-7826
Phone
(252) 752-0130
Fax
(252) 752-4949
NPI assigned
Jan 11, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Thomas O Savidge
Title
Ceo
Phone
(252) 752-0483

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MHL-074-150 NC
Clinical Social Worker 1041C0700X MHL-074-150 NC Primary

Addresses

Primary practice location

2269 Stantonsburg Road
Greenville, NC 27834-7826

Mailing address

2245 Stantonsburg Rd
Suite P
Greenville, NC 27834-2868
Phone (252) 752-0483

Other identifiers 2

IdentifierTypeStateIssuer
016X5OtherNCBCBS
6005362MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Port Health Services38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1780734988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 STANTONSBURG RD",
            "address_2": "SUITE P",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342868",
            "telephone_number": "252-752-0483",
            "fax_number": "252-752-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2269 STANTONSBURG ROAD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347826",
            "telephone_number": "252-752-0130",
            "fax_number": "252-752-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SAVIDGE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-752-0483"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "MHL-074-150",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "MHL-074-150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "016X5",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005362",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.