Positive Generation in Christ, Incorporated

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

POSITIVE GENERATION IN CHRIST, INCORPORATED

Practice address

2109 N Main St
Tarboro, NC 27886-1920

Phone

(252) 641-4522

Fax

(252) 641-5461

NPI assigned

Jun 11, 2012

Organization subpart

No

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

Authorized official

Name

Priscilla Oates

Title

Director

Phone

(252) 813-2530

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NC, SC2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shirria D. McCullough, LCSWA

  • Clinical Social Worker
  • Wilson, NC
  • NPI 1811243959

  SC

  Medicare reassignment Care Compare group NPD
• Immacula Saint-Louis, MD

  • Pediatrics Physician
  • Wilson, NC
  • NPI 1356449144

  SC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1942562541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 SAINT ANDREW ST",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278862149",
            "telephone_number": "252-641-4522",
            "fax_number": "252-641-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 N MAIN ST",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278861920",
            "telephone_number": "252-641-4522",
            "fax_number": "252-641-5461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "608 Gregg Ave Ste 102103",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295014317",
            "country_code": "US",
            "telephone_number": "843-319-4161",
            "fax_number": "252-641-5461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 Beacon Rd",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212203504",
            "country_code": "US",
            "telephone_number": "252-813-2530",
            "fax_number": "252-641-5461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "POSITIVE GENERATION IN CHRIST, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-11",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "OATES",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-813-2530"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942562541",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "none",
            "affiliation": "N",
            "address_1": "2901 N Main St",
            "city": "Tarboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278861920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Tarboro",
            "affiliation": "N",
            "address_1": "2109 N Main St",
            "city": "Tarboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278861920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mark Petruzziello, M.D.
• Courtney Harris Pitt, SLP
• Burklee Pittman, LCMHC, LCAS
• Port Human Services
• Katrina Gail Porter, MSW, LCSW
• Positive Influences, Inc.
• Positive Steps Residential Service, Inc
• Edward Tremayne Powell
• Jerry W. Price, D.D.S.
• Jennifer Leigh Pridgen, PTA

• Community/Behavioral Health Agency in Tarboro, NC
• Providers in Tarboro, 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 Dec 10, 2020; 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.