KITTRELL JOB CORPS CENTER WELLNESS
NPI 1114744182
Clinic/Center in Kittrell, NC

Q: What is Kittrell Job Corps Center Wellness's NPI number?

The NPI number for Kittrell Job Corps Center Wellness is 1114744182. It was assigned to this organization in the NPPES registry on September 23, 2024.

Q: What is Kittrell Job Corps Center Wellness's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since September 23, 2024CLIA 34D2026213 · Waiver

1096 US HIGHWAY 1 S, KITTRELL, NC 27544(252) 438-9149(252) 438-9189 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kittrell Job Corps Center Wellness NPPES

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

KITTRELL JOB CORPS CENTER WELLNESS (NPI 1114744182) is a healthcare organization registered as a clinic/center in Kittrell, North Carolina and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through June 26, 2027 and lists Rebecca Miller, Practice Manager/ Wellness Director, as its authorized official.

NPPES Registry Identity

NPI1114744182

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameKITTRELL JOB CORPS CENTER WELLNESS

Location Address1096 US HIGHWAY 1 SKittrell, NC 27544-9385

Mailing Address1096 Us Highway 1 SKittrell, NC 27544-9385 · (252) 438-9149 · Fax (252) 438-9189

Phone(252) 438-9149

Fax(252) 438-9189

Organization SubpartNo

Authorized OfficialRebecca MillerPractice Manager/ Wellness Director · (252) 438-9132

Enumeration DateSeptember 23, 2024

NPPES CertifiedSeptember 23, 2024

✔ NPI 1114744182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

1096 US HIGHWAY 1 S, Kittrell, NC 27544

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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 of Waiver 34D2026213

Kittrell Job Corps · Kittrell, NC

Active · expires Jun 26, 2027

CLIA Number34D2026213

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateJune 27, 2025

Certificate Expiration DateJune 26, 2027

Laboratory DirectorDr. Robert S. Adams

Laboratory Phone(910) 916-1982

Laboratory LocationKittrell Job Corps1096 Hwy Us 1 South, Kittrell, NC 27544

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only 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 Kittrell Job Corps Center Wellness's NPI number?

The NPI number for Kittrell Job Corps Center Wellness is 1114744182. It was assigned to this organization in the NPPES registry on September 23, 2024.

Where is Kittrell Job Corps Center Wellness located?

Kittrell Job Corps Center Wellness is located at 1096 Us Highway 1 S, Kittrell, NC 27544. The listed phone number is (252) 438-9149.

What is Kittrell Job Corps Center Wellness's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Kittrell Job Corps Center Wellness hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2026213) is associated with this NPI, valid through June 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kittrell Job Corps Center Wellness was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.