Mecklenburg County

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

MECKLENBURG COUNTY

Doing business as

Mecklenburg County Public Health Dept

Practice address

249 Billingsley Rd
Charlotte, NC 28211-1003

Phone

(704) 336-4776

Fax

(704) 336-5006

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Raynard E Washington, PHD

Title

Health Director

Phone

(980) 579-0671

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Mecklenburg County Public Health Dept Doing business as

Electronic endpoints 1

Tax ID family

Mecklenburg County32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

• Charlotte Cdsa

  • Public Health or Welfare Agency
  • Charlotte, NC
  • NPI 1215270715
  NPD tax ID
• Meckelnburg County

  dba Mecklenburg County Health Dept - Northwest Campus

  • Community/Retail Pharmacy
  • Charlotte, NC
  • NPI 1073893319
  NPD tax ID
• Mecklenburg County

  dba Mecklenburg County Health Department - Clinical Services

  • State or Local Public Health Clinic/Center
  • Charlotte, NC
  • NPI 1043352594
  NPD tax ID
• Mecklenburg County

  dba Mecklenburg County Health Department - CAP Services

  • Case Management Agency
  • Charlotte, NC
  • NPI 1063554517
  NPD tax ID
• Mecklenburg County

  dba Mecklenburg County Health Dept-Adult Outpatient Mental Health Services

  • State or Local Public Health Clinic/Center
  • Charlotte, NC
  • NPI 1063694222
  NPD tax ID
• Mecklenburg County

  dba Mecklenburg County Health Department - Women's Health Mammography

  • State or Local Public Health Clinic/Center
  • Charlotte, NC
  • NPI 1134261688
  NPD tax ID
• Mecklenburg County

  dba Mecklenburg County Health Dept - Northeast Campus

  • Clinic Pharmacy
  • Charlotte, NC
  • NPI 1164143996
  NPD tax ID
• Mecklenburg County

  dba Mecklenburg County Childrens Developmental Services Agency

  • Public Health or Welfare Agency
  • Charlotte, NC
  • NPI 1396814331
  NPD tax ID
• Mecklenburg County

  dba Mecklenburg County Health Department - HIV Case Management

  • Case Management Agency
  • Charlotte, NC
  • NPI 1477694313
  NPD tax ID
• Mecklenburg County

  dba Mecklenburg County Community Support Services

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1609946953
  NPD tax ID
• Mecklenburg County

  dba Mecklenburg County Health Department - MCH Case Management

  • State or Local Public Health Clinic/Center
  • Charlotte, NC
  • NPI 1619091709
  NPD tax ID
• Mecklenburg County

  dba Mecklenburg County CSS

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1619164514
  NPD tax ID

Locations

Practitioners 2

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

• Ursula Douglas, FNP

  • Family Nurse Practitioner
  • Charlotte, NC
  • NPI 1548729189
  NPD (past)
• Danielle Ross, FNP-BC

  • Family Nurse Practitioner
  • Matthews, NC
  • NPI 1417532748
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1972645422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 BILLINGSLEY RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111003",
            "telephone_number": "704-336-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 BILLINGSLEY RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111003",
            "telephone_number": "704-336-4776",
            "fax_number": "704-336-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MECKLENBURG COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "RAYNARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "980-579-0671",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972645422",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404360",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "na",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "249 Billingsley Rd",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282111003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mecklenburg County Public Health Dept",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mecklenburg County (Mecklenburg County CSS)
• Mecklenburg County (Mecklenburg County Dentistry)
• Mecklenburg County (Mecklenburg County Health Dept - Southeast Campus)
• Mecklenburg County
• Mecklenburg County
• Mecklenburg County Ambulance Service
• Mecklenburg County Area Mental Authority
• Mecklenburg County Area Mental Health
• Mecklenburg County Area Mental Health
• Mecklenburg County Area Mental Health Authority

• State or Local Public Health Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• State or Local Public Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.