PORT HEALTH SERVICES
NPI 1174005789
Community/Behavioral Health in Whiteville, NC
About Port Health Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PORT HEALTH SERVICES (NPI 1174005789) is a healthcare organization registered as a community/behavioral health in Whiteville, North Carolina and active in the NPI registry since August 2018. The organization lists Brett Beavers, Credentialing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Port Health Services 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 Port Health Services, which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
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.
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 Port Health Services's NPI number?
The NPI number for Port Health Services is 1174005789. It was assigned to this organization in the NPPES registry on August 30, 2018.
Where is Port Health Services located?
Port Health Services is located at 706 N Thompson St, Whiteville, NC 28472. The listed phone number is (910) 353-0109.
What is Port Health Services's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Port Health Services enrolled in Medicare?
Yes. Port Health Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Port Health Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 37 clinicians in 4 Medicare specialties reassign their Medicare billing to Port Health Services. 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 Clinical Social Worker (19), Nurse Practitioner (8) and Mental Health Counselor (7). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Port Health Services was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Port Health Services · NPI 1174005789
Community/Behavioral Health organization in Whiteville, North Carolina. Organization record, active in the CMS NPPES registry since August 30, 2018.
## Identity
- **NPI:** 1174005789 (Entity type: Organization)
- **Enumerated:** August 30, 2018
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Brett Beavers, CREDENTIALING MANAGER
## Practice location
- **Address:** 706 N THOMPSON ST, Whiteville, NC 28472-3428
- **Phone:** (910) 353-0109 · **Fax:** (910) 207-6332
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 37 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (19), Nurse Practitioner (8), Mental Health Counselor (7); 1 practice at this address; [full list](https://npiprofile.com/npi/1174005789/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 15, 2023
- **Other identifiers:** Medicaid 1477538254 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1174005789) · Data from the CMS NPPES public registry.