COMMWELL HEALTH OF SHALLOTTE
NPI 1003218439
Clinic/Center - Federally Qualified Health Center (FQHC) in Shallotte, NC
About Commwell Health Of Shallotte NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COMMWELL HEALTH OF SHALLOTTE (NPI 1003218439) is a healthcare organization registered as a federally qualified health center (fqhc) in Shallotte, North Carolina and active in the NPI registry since September 2014. The organization holds a CLIA Microscopy certificate valid through August 31, 2028 and lists William Clay Ellison, Revenue Cycle Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Commwell Health Of Shallotte is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
37Medicare enrollment records show 37 clinicians reassign Medicare billing to Commwell Health Of Shallotte, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 37Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 34D0690334
Tri-County Community Health Council, Inc Dba Commwell Health · Dunn, NCFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tri County Community Health Council Inc's NPI number?
The NPI number for Tri County Community Health Council Inc is 1003218439. It was assigned to this organization in the NPPES registry on September 17, 2014. The provider is doing business as Commwell Health Of Shallotte.
Where is Tri County Community Health Council Inc located?
Tri County Community Health Council Inc is located at 341A Whiteville Rd NW, Shallotte, NC 28470. The listed phone number is (877) 935-5255.
What is Tri County Community Health Council Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Tri County Community Health Council Inc enrolled in Medicare?
Yes. Tri County Community Health Council Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tri County Community Health Council Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 37 clinicians in 8 Medicare specialties reassign their Medicare billing to Tri County Community Health Council Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (15), Dentist (12) and Clinical Social Worker (3). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Tri County Community Health Council Inc hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D0690334) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Tri County Community Health Council Inc accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Tri County Community Health Council Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Tri County Community Health Council Inc was last updated on March 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Commwell Health Of Shallotte · NPI 1003218439
Federally Qualified Health Center (FQHC) organization in Shallotte, North Carolina. Organization record, active in the CMS NPPES registry since September 17, 2014.
## Identity
- **NPI:** 1003218439 (Entity type: Organization)
- **Enumerated:** September 17, 2014
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Tri County Community Health Council Inc
- **Organization subpart:** No
- **Authorized official:** William Ellison, REVENUE CYCLE MANAGER
## Practice location
- **Address:** 341A WHITEVILLE RD NW, Shallotte, NC 28470-4507
- **Phone:** (877) 935-5255 · **Fax:** (910) 236-2118
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 37 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (15), Dentist (12), Clinical Social Worker (3); 2 practice at this address and 5 within 10 miles; [full list](https://npiprofile.com/npi/1003218439/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 27, 2024
- **Other identifiers:** Other 2804165 (NC); Other 341026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003218439) · Data from the CMS NPPES public registry.