Active NPI
CMS Agency, Inc.
- Community/Behavioral Health Agency
- St. Pauls, NC
National Provider Identifier
1861551566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3418028 | Medicaid | NC | |
| 8300081 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- CMS Agency Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Saint Pauls, NC
- NPI 1720429392
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.