Pride in North Carolina, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PRIDE IN NORTH CAROLINA, LLC

Practice address

110-B Branchwood Drive
Jacksonville, NC 28546-5900

Phone

(910) 938-9833

Fax

(910) 938-9835

NPI assigned

Feb 2, 2007

Last updated

Oct 4, 2017By 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

Mr. Jason Rutski

Title

Director of Business Operations

Phone

(910) 452-1460

Specialties & licenses 3

Addresses

Other names 1

• Pride in North Carolina, Inc Former legal business name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Pride in North Carolina, LLC

  • Community/Behavioral Health Agency
  • Greenville, NC
  • NPI 1760420186

  O20050711000558

  Same enrollment
• Pride in North Carolina, LLC

  • Community/Behavioral Health Agency
  • Burlington, NC
  • NPI 1770621526

  O20050711000558

  Same enrollment
• Pride in North Carolina, LLC

  • Community/Behavioral Health Agency
  • Greenville, NC
  • NPI 1790823557

  O20050711000558

  Same enrollment

Locations

Practitioners 134

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.

• Robert McLain Adams IV, MD

  • Child & Adolescent Psychiatry Physician
  • Wilmington, NC
  • NPI 1275693517
  NPD
• Sedreka Symone Anderson

  • Clinical Social Worker
  • Greenville, NC
  • NPI 1831847979
  NPD
• Destiny Nicole Askew

  • Clinical Social Worker
  • Greenville, NC
  • NPI 1700544731
  NPD
• Nicole Baltimore

  • Mental Health Counselor
  • Garner, NC
  • NPI 1578279253
  NPD
• Smeeta Prasai Bhatta, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenville, NC
  • NPI 1578321543
  NPD
• Zachary Ryan Bingler, LCSW, LCAS

  • Clinical Social Worker
  • Wilmington, NC
  • NPI 1316720378
  NPD
• Jennifer Tillman Boney, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Goldsboro, NC
  • NPI 1366109894
  NPD
• Lisa Jo Clemens, MA, LCMHC

  • Mental Health Counselor
  • Smithfield, NC
  • NPI 1841037140
  NPD
• Allison Cooper, LCMHC, NCC

  • Mental Health Counselor
  • Elizabeth City, NC
  • NPI 1427785062
  NPD
• Andrea Cooper, MS, LCMHC

  • Mental Health Counselor
  • Jacksonville, NC
  • NPI 1144092073
  NPD
• Michelle Ann Corbitt

  • Clinical Social Worker
  • Smithfield, NC
  • NPI 1982286506
  NPD
• Allison Danielle Stancill Cray, FNP-C

  • Family Nurse Practitioner
  • Wilmington, NC
  • NPI 1396246286
  NPD

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507075200000",
    "number": "1821136581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 COMMERCE ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585029",
            "telephone_number": "252-321-8080",
            "fax_number": "252-321-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110-B BRANCHWOOD DRIVE",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465900",
            "telephone_number": "910-938-9833",
            "fax_number": "910-938-9835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDE IN NORTH CAROLINA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2017-10-04",
        "status": "A",
        "authorized_official_last_name": "RUTSKI",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "910-452-1460",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pride in North Carolina, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Precision Health Care Services, Inc
• Precision Health Care Services, Inc.
• Brittany R Preston
• Price Eye Clinic PA
• Kevin Lee Price, M.D.
• Primecare Physicians of Jacksonville, PLLC
• Cynthia Lee Probasco, RN
• Jakob Probst, PA-C
• Professional Physical Therapy & Rehabilitation, LLC
• Publix North Carolina, LP (Publix Pharmacy #1660)

• Community/Behavioral Health Agency in Jacksonville, NC
• Providers in Jacksonville, 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 4, 2017; 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.