| Port Health Services | |
|
4300 Sapphire Ct Ste 110 Greenville NC 27834-9079 | |
| (252) 830-7540 | |
| (252) 413-0932 |
| Full Name | Port Health Services |
|---|---|
| Speciality | Counselor |
| Location | 4300 Sapphire Ct Ste 110, Greenville, North Carolina |
| Authorized Official Name and Position | Brett Beavers (CREDENTIALING MANAGER) |
| Authorized Official Contact | 9192107661 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Port Health Services 4300 Sapphire Ct Ste 110 Greenville NC 27834-9079 Ph: (252) 830-7540 | Port Health Services 4300 Sapphire Ct Ste 110 Greenville NC 27834-9079 Ph: (252) 830-7540 |
| NPI Number | 1497075618 |
|---|---|
| Provider Enumeration Date | 06/10/2010 |
| Last Update Date | 05/24/2023 |
| Certification Date | 05/24/2023 |
| Medicare PECOS PAC ID | 5193752681 |
|---|---|
| Medicare Enrollment ID | O20050726001211 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497075618 | NPI | - | NPPES |
| Provider Name | Rickie Wade Ellis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831129220 PECOS PAC ID: 8325021553 Enrollment ID: I20040609001097 |
| Provider Name | Paula West Savage |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407884042 PECOS PAC ID: 4486680352 Enrollment ID: I20050712000742 |
| Provider Name | Penny L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245216449 PECOS PAC ID: 7416983028 Enrollment ID: I20050714000969 |
| Provider Name | Megan E Bogart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568496883 PECOS PAC ID: 5698761385 Enrollment ID: I20060410000158 |
| Provider Name | Hanna W Marrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679567978 PECOS PAC ID: 7113068941 Enrollment ID: I20091230000531 |
| Provider Name | Hany A Kaoud |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710169990 PECOS PAC ID: 1951435635 Enrollment ID: I20100817000752 |
| Provider Name | Rena Church |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750669842 PECOS PAC ID: 7012174428 Enrollment ID: I20120213000395 |
| Provider Name | Elaina A Bogan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942394077 PECOS PAC ID: 6709832496 Enrollment ID: I20120710000501 |
| Provider Name | Elizabeth L Huston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861554701 PECOS PAC ID: 8426205782 Enrollment ID: I20120822000227 |
| Provider Name | Audrey Deloris Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326482191 PECOS PAC ID: 7719127331 Enrollment ID: I20130702000647 |
| Provider Name | Amy Smith Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245473016 PECOS PAC ID: 0749330108 Enrollment ID: I20131108001130 |
| Provider Name | Christopher Noel Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194150060 PECOS PAC ID: 2860629375 Enrollment ID: I20131207000359 |
| Provider Name | Elizabeth Connelly Morris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487992483 PECOS PAC ID: 5496057135 Enrollment ID: I20160112001786 |
| Provider Name | Charlene Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346527314 PECOS PAC ID: 1850666785 Enrollment ID: I20171003006487 |
| Provider Name | Daniel L Ball |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306391867 PECOS PAC ID: 8921345042 Enrollment ID: I20190129000079 |
| Provider Name | Robineta Jovonne Montelina Blackston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568835403 PECOS PAC ID: 4587905591 Enrollment ID: I20190401000484 |
| Provider Name | Maria Teresa Baluis Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679032387 PECOS PAC ID: 0042549842 Enrollment ID: I20190904000341 |
| Provider Name | Christin Perry Dawson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538728217 PECOS PAC ID: 8123357738 Enrollment ID: I20190906002526 |
| Provider Name | Bertha Bowen Hambidge |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043824998 PECOS PAC ID: 7911313440 Enrollment ID: I20210309000945 |
| Provider Name | Rebecca Anne Woods |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962954297 PECOS PAC ID: 8224426051 Enrollment ID: I20211028001088 |
| Provider Name | Sara Sanderson Dodgens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962782920 PECOS PAC ID: 4082007653 Enrollment ID: I20220202001843 |
| Provider Name | Allyson Nicole Owens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497302004 PECOS PAC ID: 4587030234 Enrollment ID: I20221020001292 |
| Provider Name | Rochelle Elizabeth Walton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518573906 PECOS PAC ID: 7012389968 Enrollment ID: I20230202001901 |
| Provider Name | Amanda Lynne Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235916909 PECOS PAC ID: 9032564620 Enrollment ID: I20231017003522 |
| Provider Name | Latonia Denise Curtiss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275009573 PECOS PAC ID: 1759737745 Enrollment ID: I20231026004437 |
| Provider Name | Nina Jean Hoaglund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962131003 PECOS PAC ID: 4688020555 Enrollment ID: I20231030000163 |
| Provider Name | Crystal Deanna Burts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316377658 PECOS PAC ID: 1355797978 Enrollment ID: I20231101003826 |
| Provider Name | Jessica Diane Dosher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497908255 PECOS PAC ID: 5698122638 Enrollment ID: I20231113001320 |
| Provider Name | Eva Tanner Church |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306593884 PECOS PAC ID: 8022466911 Enrollment ID: I20231204001286 |
| Provider Name | Jayce Noelle Inscoe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376157230 PECOS PAC ID: 9638529225 Enrollment ID: I20231221004073 |
| Provider Name | William Ashley Mizelle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154497220 PECOS PAC ID: 4981056579 Enrollment ID: I20240119000035 |
| Provider Name | Traver Stewart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992139638 PECOS PAC ID: 3375995970 Enrollment ID: I20240119000285 |
| Provider Name | Terin Renee Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770988552 PECOS PAC ID: 4082066691 Enrollment ID: I20240119000786 |
| Provider Name | Russell Langdon Meyers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235676743 PECOS PAC ID: 6800248352 Enrollment ID: I20240119002211 |
| Provider Name | Jade Ashley Knutson Day |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427332964 PECOS PAC ID: 5597117077 Enrollment ID: I20240119003570 |
| Provider Name | Lauryn Swinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750717708 PECOS PAC ID: 3274978218 Enrollment ID: I20240229000519 |
| Provider Name | Amanda Christine Styron |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942667266 PECOS PAC ID: 0547605149 Enrollment ID: I20240305000768 |
| Provider Name | Lee Aaron Sousa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891168902 PECOS PAC ID: 9537505599 Enrollment ID: I20240312004038 |
| Provider Name | Fallon Monique Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407456163 PECOS PAC ID: 2860839669 Enrollment ID: I20240327003832 |
| Provider Name | Maegan Starcher Roberson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710266382 PECOS PAC ID: 1759728553 Enrollment ID: I20240327003915 |
| Provider Name | Joshua Hymrick Prince |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386367571 PECOS PAC ID: 7315385135 Enrollment ID: I20240329000534 |
| Provider Name | Spring Guill Roland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891397071 PECOS PAC ID: 7012355720 Enrollment ID: I20240401001075 |
| Provider Name | Janine Renee Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831239599 PECOS PAC ID: 1254674070 Enrollment ID: I20240515001621 |
Pathways To Life, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 Conference Dr, Greenville, NC 27858 Phone: 252-695-0269 Fax: 252-413-0526 | |
Alliance Counseling Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 710 Cromwell Dr Ste F, Greenville, NC 27858 Phone: 919-987-0799 | |
Psychological Assessment And Treatment Specialists Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1103 Corporate Dr Ste B, Greenville, NC 27858 Phone: 252-320-9398 Fax: 252-351-3013 | |
Therapeutic Interactions Counseling Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 323 Clifton Street, Greenville, NC 27858 Phone: 252-689-8671 Fax: 252-793-2158 | |
All In Counseling And Wellness, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 740 Greenville Blvd Se Ste 400-293, Greenville, NC 27858 Phone: 252-503-0789 | |
Genesis Inc. Of Nc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 609 Country Club Dr, Suite D, Greenville, NC 27834 Phone: 252-353-0127 | |
Dr. Judith S. Yongue Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Commerce St, D, Greenville, NC 27858 Phone: 252-355-2768 Fax: 252-355-0403 |