Organization Active NPI

CMS Agency, Inc.

  • Community/Behavioral Health Agency
  • St. Pauls, NC
National Provider Identifier
1861551566
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CMS AGENCY, INC.
Practice address
408 W. Armfiled St.
St. Pauls, NC 28384-1526
Phone
(910) 865-9299
Fax
(910) 865-9298
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Authorized official

Name
Mrs. Tammy Sue Segura, B.S. PSYCHOLOGY
Title
Owner
Phone
(910) 865-9299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

408 W. Armfiled St.
St. Pauls, NC 28384-1526

Mailing address

408 W. Armfiled St.
St. Pauls, NC 28384-1526
Phone (910) 865-9299

Other identifiers 2

IdentifierTypeStateIssuer
3418028MedicaidNC
8300081MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
CMS Agency Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1861551566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 W. ARMFILED ST.",
            "city": "ST. PAULS",
            "state": "NC",
            "postal_code": "283841526",
            "telephone_number": "910-865-9299",
            "fax_number": "910-865-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 W. ARMFILED ST.",
            "city": "ST. PAULS",
            "state": "NC",
            "postal_code": "283841526",
            "telephone_number": "910-865-9299",
            "fax_number": "910-865-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMS AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "SEGURA",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-865-9299",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B.S. PSYCHOLOGY"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418028",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300081",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Pauls, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; 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.