East Carolina Health - Heritage Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

H0258 Issued in NC

Legal business name

EAST CAROLINA HEALTH - HERITAGE INC

Doing business as

Vidant Family Medicine-Pinetops a department of Vidant Edgecombe Hospi

Practice address

1473 NC 42-43 West
Pinetops, NC 27864-7188

Phone

(252) 827-5231

Fax

(252) 827-5775

NPI assigned

Jan 4, 2006

Last updated

Mar 12, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

EAST CAROLINA HEALTH - HERITAGE INCAs reported in NPPES

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

Authorized official

Name

Mr. Patrick M Heins

Title

President

Phone

(252) 641-7123

Specialties & licenses 1

Addresses

Other names 1

• Vidant Family Medicine-Pinetops a department of Vidant Edgecombe Hospi Doing business as

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821076589. Details of each certification follow.

• CCN 343400 Rural health clinic · Active · Details

Rural health clinic certification: CCN 343400

Legal name

EAST CAROLINA HEALTH - HERITAGE INC

Doing business as

VIDANT FAMILY MEDICINE- PINETOPS

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Nov 27, 1995

Last certification

Jan 11, 2018

Ownership / control type

2B

Organization structure

CorporationNon-profit

Incorporated

Jul 16, 1998 in NC

Enrollment address

1473 NC 42 43 W
Pinetops, NC 27864-7188

Related CCNs

340107

Related certifications (CCN) 1

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

• East Carolina Health - Heritage Inc

  dba ECU Health Edgecombe Hospital

  • General Acute Care Hospital
  • Tarboro, NC
  • NPI 1699757393

  Parent provider

  Provider of Services

Other NPIs with the same Medicare PAC ID 2

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

• East Carolina Health - Heritage Inc

  dba Heritage Hospital

  • Anesthesiology Physician
  • Tarboro, NC
  • NPI 1194703884

  4789582594

  Same PAC ID
• East Carolina Health - Heritage Inc

  dba ECU Health Edgecombe Hospital

  • General Acute Care Hospital
  • Tarboro, NC
  • NPI 1699757393

  4789582594

  Same PAC ID

Part of

East Carolina HLTH Heritage

All disclosed owners & managing parties 7

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

Owners & managing parties with NPI records 1

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

• Marcus S Albernaz, MD

  • Otolaryngology Physician
  • Greenville, NC
  • NPI 1942254859

  Corporate Director

  CMS ownership

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Acadia-Vidant Joint Venture, LLC

  dba ECU Health-Behavioral Health Hospital

  • Psychiatric Hospital
  • Greenville, NC
  • NPI 1770313470

  University Health Systems of Eastern Carolina, Inc.

  CMS ownership
• Healthaccess, Inc

  dba Vidant Home Health and Hospice

  • Home Health Agency
  • Kenansville, NC
  • NPI 1134599137

  University Health Systems of Eastern Carolina, Inc.

  CMS ownership
• Healthaccess, Inc

  dba Vidant Home Health and Hospice

  • Community Based Hospice Care Agency
  • Kenansville, NC
  • NPI 1952771958

  University Health Systems of Eastern Carolina, Inc.

  CMS ownership
• Healthaccess, Inc.

  dba Vidant Home Health and Hospice

  • Community Based Hospice Care Agency
  • Greenville, NC
  • NPI 1073516894

  University Health Systems of Eastern Carolina, Inc.

  CMS ownership
• Healthaccess, Inc.

  dba Vidant Home Health and Hospice

  • Home Health Agency
  • Washington, NC
  • NPI 1588959225

  University Health Systems of Eastern Carolina, Inc.

  CMS ownership
• Healthaccess, Inc.

  dba Vidant Home Health and Hospice

  • Home Health Agency
  • Windsor, NC
  • NPI 1932181864

  University Health Systems of Eastern Carolina, Inc.

  CMS ownership
• The Outer Banks Hospital Inc

  • Critical Access Hospital
  • Nags Head, NC
  • NPI 1053375253

  University Health Systems of Eastern Carolina, Inc.

  CMS ownership

Practitioners 69

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.

• Taylor Andrew Braswell, PA-C

  • Physician Assistant
  • Pinetops, NC
  • NPI 1376256586
  Medicare reassignment Care Compare group NPD
• Lisa Yancey Coltrane, MSN, RNCS, FNP

  • Family Nurse Practitioner
  • Pinetops, NC
  • NPI 1144212754
  Medicare reassignment Care Compare group NPD
• Lindsey Anne Woodlief, DNP, FNP-C

  • Nurse Practitioner
  • Pinetops, NC
  • NPI 1346138518
  Medicare reassignment Care Compare group NPD
• Joylyn Yeazell, M.D.

  • Family Medicine Physician
  • Pinetops, NC
  • NPI 1821445446
  Medicare reassignment Care Compare group NPD
• Karen Coward, M.D.

  • Family Medicine Physician
  • Tarboro, NC
  • NPI 1396715496
  Medicare reassignment Care Compare group
• Quaratulain Anwar, MD

  • Hospitalist Physician
  • Raleigh, NC
  • NPI 1710177548
  Medicare reassignment NPD
• Alexander Corcoran, PA-C

  • Physician Assistant
  • Belhaven, NC
  • NPI 1215211628
  Medicare reassignment NPD
• Melanie Rose Dart, PA-C

  • Physician Assistant
  • Wilmington, NC
  • NPI 1942466909
  Medicare reassignment NPD
• Jon Dubose, MD

  • Internal Medicine Physician
  • Tarboro, NC
  • NPI 1114920162
  Medicare reassignment NPD
• Audrey D. Eaves, PA-C

  • Physician Assistant
  • Greenville, NC
  • NPI 1518239854
  Medicare reassignment NPD
• Ashley Lauren Feeley, FNP-BC

  • Family Nurse Practitioner
  • Tarboro, NC
  • NPI 1164179123
  Medicare reassignment NPD
• Larry Jensen, PA

  • Physician Assistant
  • Tarboro, NC
  • NPI 1922078955
  Medicare reassignment NPD

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1821076589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1473 NC 42-43 WEST",
            "city": "PINETOPS",
            "state": "NC",
            "postal_code": "278647188",
            "telephone_number": "252-827-5231",
            "fax_number": "252-827-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1473 NC 42-43 WEST",
            "city": "PINETOPS",
            "state": "NC",
            "postal_code": "278647188",
            "telephone_number": "252-827-5231",
            "fax_number": "252-827-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CAROLINA HEALTH - HERITAGE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST CAROLINA HEALTH - HERITAGE INC",
        "enumeration_date": "2006-01-04",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "HEINS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-641-7123",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NC",
            "license": "H0258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vidant Family Medicine-Pinetops a department of Vidant Edgecombe Hospi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Andrew Braswell, PA-C
• Johnna Lee Brothers, FNP-C
• Lisa Yancey Coltrane, MSN, RNCS, FNP
• Comprehensive Behavioral
• Diversified Risk Management, Inc.
• Embracing Tranquility Home Care Services LLC
• Flowers in-Home Healthcare Inc
• Halifax Medical Services PA (Medical Clinic of Pinetops)
• Wendy Harrell, RPH
• Haven of Positive Enrichment, Inc.

• Rural Health Clinic/Center in Pinetops, NC
• Providers in Pinetops, NC by specialty
• Rural Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.