Active NPI
Cumberland County Health Dept
- Public Health or Welfare Agency
- Fayetteville, NC
National Provider Identifier
1831249986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- CUMBERLAND COUNTY HEALTH DEPT
- Practice address
- 1235 Ramsey Street
Fayetteville, NC 28301-4401 - Phone
- (910) 433-3600
- Fax
- (910) 321-7103
- NPI assigned
- Jan 11, 2007
- Organization subpart
- Yes
- Parent organization
- COUNTY OF CUMBERLAND
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tina May
- Title
- Billing Supervisor
- Phone
- (910) 433-3809
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NC | ||
| Public Health or Welfare Agency | 251K00000X | NC | Primary | |
| Clinic/Center | 261Q00000X | NC | ||
| Dental Clinic/Center | 261QD0000X | NC | ||
| Non-Surgical Family Planning Clinic/Center | 261QF0050X | NC | ||
| Medical Specialty Clinic/Center | 261QM2500X | NC | ||
| State or Local Public Health Clinic/Center | 261QP0905X | NC | ||
| State or Local Public Health Clinic/Center | 261QP0905X | |||
| Primary Care Clinic/Center | 261QP2300X | NC | ||
| Clinical Medical Laboratory | 291U00000X | NC | ||
| Medical Physician Assistant | 363AM0700X | NC | ||
| Pediatric Nurse Practitioner | 363LP0200X | NC | ||
| Women's Health Nurse Practitioner | 363LW0102X | NC | ||
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | NC |
Addresses
Primary practice location
1235 Ramsey Street
Fayetteville, NC 28301-4401
Mailing address
1235 Ramsey Street
Fayetteville, NC 28301-4401
Phone (910) 433-3600
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0705C | Other | NC | BLUE CROSS BLUE SHIELD |
| 3404429 | Medicaid | NC | |
| 3403056 | Medicaid | NC |
Other names 1
- CUMBERLAND CO HLT DPT CLINICAL SVS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040511001437 | NC | Part B Supplier - Clinic/Group Practice | 8921097163 |
Receives reassigned benefits from 5 practitioners 2 other NPIs on this enrollment Practice locations: Fayetteville, NC |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Addiction (Substance Use Disorder) Counselor
- Fayetteville, NC
- NPI 1558491381
O20040511001437
National Provider Directory
National Provider Directory- Part of
- Cumberland County Department of Social Services
Locations
109 Bradford Ave
Fayetteville, NC 28301
Phone (910) 323-0601
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Women's Health Nurse Practitioner
- Clinton, NC
- NPI 1568510840
Women'S Health
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": "1691020800000",
"number": "1831249986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1235 RAMSEY STREET",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283014401",
"telephone_number": "910-433-3600",
"fax_number": "910-321-7103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 RAMSEY STREET",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283014401",
"telephone_number": "910-433-3600",
"fax_number": "910-321-7103"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUMBERLAND COUNTY HEALTH DEPT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COUNTY OF CUMBERLAND",
"enumeration_date": "2007-01-11",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A",
"authorized_official_last_name": "MAY",
"authorized_official_first_name": "TINA",
"authorized_official_title_or_position": "BILLING SUPERVISOR",
"authorized_official_telephone_number": "910-433-3809"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "NC",
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "261QF0050X",
"taxonomy_group": "",
"desc": "Clinic/Center, Family Planning, Non-Surgical",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "261QP0905X",
"taxonomy_group": "",
"desc": "Clinic/Center, Public Health, State or Local",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "261QP0905X",
"taxonomy_group": "",
"desc": "Clinic/Center, Public Health, State or Local",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Women's Health",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "NC",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0705C",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3404429",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3403056",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CUMBERLAND CO HLT DPT CLINICAL SVS",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "CUMBERLAND CO HLT DPT CLINICAL SVS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Fayetteville, NC
- Cumberland County Communicare, Inc.
- Cumberland County Coordinating Council on Older Adults, Inc.
- Cumberland County Department of Social Services
- Cumberland County Dept of Public Health
- Cumberland County EMS
- Cumberland County Health System Inc
- Cumberland County Health System Inc
- Cumberland County Hospital System
- Cumberland County Hospital System
- Cumberland County Hospital System Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.