KINSTON COMMUNITY HEALTH CENTER, INC
NPI 1104859313
Clinic/Center - Federally Qualified Health Center (FQHC) in Kinston, NC

Active since July 09, 2006CLIA 34D0906019 · Microscopy
324 N QUEEN STREET, KINSTON, NC 28501(252) 522-9800(252) 523-9790 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 13, 2023, Dec 1, 2020, Oct 20, 2020 and 2 more (5 updates tracked since 2019).

About Kinston Community Health Center, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KINSTON COMMUNITY HEALTH CENTER, INC (NPI 1104859313) is a healthcare organization registered as a federally qualified health center (fqhc) in Kinston, North Carolina and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through September 4, 2028, maintains a secondary practice location in Kinston, and lists Suzanne Freeman, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1104859313
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameKINSTON COMMUNITY HEALTH CENTER, INC
Location Address324 N QUEEN STREETKinston, NC 28501-4932
Mailing AddressPo Box 2278Kinston, NC 28502-2278 · (252) 522-9800 · Fax (252) 522-9854
Fax(252) 523-9790
Organization SubpartNo
Authorized OfficialSuzanne FreemanChief Executive Officer · (252) 522-9800
Enumeration DateJuly 9, 2006
Last NPPES UpdateDecember 13, 20235 updates tracked since enumeration
NPPES CertifiedDecember 13, 2023
✔ NPI 1104859313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
324 N QUEEN STREET, Kinston, NC 28501

Secondary Practice Location 1

Location 1107 S Queen StKinston, NC 28501-4933 · Phone (252) 522-9800 · Fax (252) 523-9790

Other Identifiers 1

Medicaid344575NC

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)

Kinston Community Health Center, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to Kinston Community Health Center, Inc, which bills Medicare for the services they deliver. Of these, 13 practice at this address and 14 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 8

Nurse Practitioner6
Clinical Social Worker3
Psychiatry2
Cardiovascular Disease (Cardiology)1
Dentist1
Family Practice1
Mental Health Counselor1
Obstetrics/Gynecology1

Clinicians, nearest first (16)

Nurse Practitioner
NPI 1295441202
324 N QUEEN ST
Kinston, NC 28501
(252) 522-9800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1518659713
324 N QUEEN ST
Kinston, NC 28501
(252) 522-9800
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1134570781
324 N QUEEN ST
Kinston, NC 28501
(252) 522-9800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1629951223
324 N QUEEN ST
Kinston, NC 28501
(252) 522-9800
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1437574399
324 N QUEEN ST
Kinston, NC 28501
(252) 522-9800
✔ PECOS✔ Accepts MedicareSame address
Dentist
NPI 1124894480
324 N QUEEN ST
Kinston, NC 28501
(252) 522-9800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1841033222
324 N QUEEN ST
Kinston, NC 28501
(252) 522-9800
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1962618199
324 N QUEEN ST
Kinston, NC 28501
(252) 522-9800
✔ PECOSSame address
Clinical Social Worker
NPI 1649486564
324 N QUEEN ST
Kinston, NC 28501
(252) 522-9800
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1699986364
324 N QUEEN ST
Kinston, NC 28501
(252) 522-9800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1740015023
324 N QUEEN ST
Kinston, NC 28501
(252) 522-9800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1629190806
324 N QUEEN ST
Kinston, NC 28501
(252) 522-9800
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1841257797
324 N QUEEN ST
Kinston, NC 28501
(252) 522-9800
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1861495095
701 DOCTORS DRIVE SUITE N
Kinston, NC 28501
(252) 559-2200
✔ PECOS✔ Accepts Medicare2.1 mi
Psychiatry
NPI 1477711067
2719 GRAVES DR SUITE 5
Goldsboro, NC 27534
(919) 330-4367
✔ PECOS✔ Accepts Medicare22 mi
Clinical Social Worker
NPI 1245532118
401 MOYE BLVD
Greenville, NC 27834
(252) 830-2149
✔ PECOS✔ Accepts Medicare26 mi

Source: 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) 34D0906019

Kinston Community Health Center Inc · Kinston, NC
Active · expires Sep 4, 2028
CLIA Number34D0906019
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 5, 2026
Certificate Expiration DateSeptember 4, 2028
Laboratory DirectorRicardo Valdivia
Laboratory Phone(252) 522-4350
Laboratory LocationKinston Community Health Center Inc324 N Queen Street, Kinston, NC 28501
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently 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 Kinston Community Health Center, Inc's NPI number?

The NPI number for Kinston Community Health Center, Inc is 1104859313. It was assigned to this organization in the NPPES registry on July 9, 2006.

Where is Kinston Community Health Center, Inc located?

Kinston Community Health Center, Inc is located at 324 N Queen Street, Kinston, NC 28501. The listed phone number is (252) 522-9800.

What is Kinston Community Health Center, 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 Kinston Community Health Center, Inc enrolled in Medicare?

Yes. Kinston Community Health Center, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kinston Community Health Center, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 8 Medicare specialties reassign their Medicare billing to Kinston Community Health Center, 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 (6), Clinical Social Worker (3) and Psychiatry (2). Of these, 13 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Kinston Community Health Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D0906019) is associated with this NPI, valid through September 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kinston Community Health Center, 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 and 1 other insurer list Kinston Community Health Center, 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 Kinston Community Health Center, Inc was last updated on December 13, 2023. 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.