Organization Active NPI

University of North Carolina Hospitals at Chapel Hill

Doing business as UNC Hospitals Alcohol Substance Abuse

  • Pediatric Nutrition Registered Dietitian
  • Chapel Hill, NC
National Provider Identifier
1861415804
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X
Legal business name
UNIVERSITY OF NORTH CAROLINA HOSPITALS AT CHAPEL HILL
Doing business as
UNC Hospitals Alcohol Substance Abuse
UNC Hospitals Nutrition Clinic
UNC Hospitals Oral Medicine
Practice address
101 Manning Dr
Unc Hospitals Dental Clinic
Chapel Hill, NC 27514-4220
Phone
(984) 974-1186
Fax
(984) 974-1311
NPI assigned
Jul 25, 2006
Last updated
Jul 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
Latonya Brown
Title
Ao
Phone
(336) 627-8512

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU
Pediatric Nutrition Registered Dietitian 133VN1004X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

101 Manning Dr
Unc Hospitals Dental Clinic
Chapel Hill, NC 27514-4220

Mailing address

5221 Paramount Pkwy Ste 440
Morrisville, NC 27560-5491
Phone (984) 974-1183

Other practice location 1

1101 Weaver Dairy Rd
Chapel Hill, NC 27514-1791
Phone (984) 974-6320

Other identifiers 10

IdentifierTypeStateIssuer
2489126OtherNCUHC PEDS CONTINUITY
89016NXMedicaidNC
2638607OtherNCUHC UCC
127402OtherNCMEDCOST
3106615OtherNYALLIANCE/MAMSI PEDS CONT
89016K2MedicaidNC
B0088OtherNCMEDCOST
016NXOtherNCBCBS NC
2053HOSOtherNCPARTNERS
2120334OtherNCALLIANCE/MAMSI UCC

Other names 3

  • UNC Hospitals Alcohol Substance Abuse Doing business as
  • UNC Hospitals Nutrition Clinic Doing business as
  • UNC Hospitals Oral Medicine Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051229000141 NC Part B Supplier - Clinic/Group Practice 4486561008 Receives reassigned benefits from 227 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chapel Hill, NC; Durham, NC; Hillsborough, NC; Kinston, NC; La Grange, NC; Raleigh, NC; Cary, NC

Other NPIs on the same Medicare enrollment 12

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

National Provider Directory

National Provider Directory
Tax ID family
University of North Carolina Hospitals27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

Locations

115 Kildaire Park Dr
Ste 308
Cary, NC 27518
Phone (919) 784-7460

100 Eastowne Dr
Fl 1
Chapel Hill, NC 27514
Phone (984) 974-0768

590 Manning Dr
#103
Chapel Hill, NC 27599
Phone (984) 974-4250

2801 Blue Ridge Rd
Raleigh, NC 27607
Phone (984) 215-6435

Practitioners & affiliated clinicians

Practitioners 164

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.

View all 164

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1861415804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 PARAMOUNT PKWY STE 440",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605491",
            "telephone_number": "984-974-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MANNING DR",
            "address_2": "UNC HOSPITALS DENTAL CLINIC",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275144220",
            "telephone_number": "984-974-1186",
            "fax_number": "984-974-1311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Weaver Dairy Rd",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275141791",
            "country_code": "US",
            "telephone_number": "984-974-6320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNIVERSITY OF NORTH CAROLINA HOSPITALS AT CHAPEL HILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LATONYA",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "336-627-8512"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC PEDS CONTINUITY",
            "identifier": "2489126",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89016NX",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC UCC",
            "identifier": "2638607",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "127402",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE/MAMSI PEDS CONT",
            "identifier": "3106615",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89016K2",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "B0088",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "016NX",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "2053HOS",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE/MAMSI UCC",
            "identifier": "2120334",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "UNC Hospitals Alcohol Substance Abuse",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UNC Hospitals Nutrition Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UNC Hospitals Oral Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.