PORT HEALTH SERVICES
NPI 1174005789
Community/Behavioral Health in Whiteville, NC

Active since August 30, 2018
706 N THOMPSON ST, WHITEVILLE, NC 28472(910) 353-0109(910) 207-6332 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2023, Aug 30, 2018 (2 updates tracked since 2018).

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

NPI1174005789
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePORT HEALTH SERVICES
Location Address706 N THOMPSON STWhiteville, NC 28472-3428
Mailing Address4300 Sapphire Ct Ste 110Greenville, NC 27834-9079 · (252) 830-7540 · Fax (252) 413-0932
Fax(910) 207-6332
Organization SubpartNo
Authorized OfficialBrett BeaversCredentialing Manager · (919) 210-7661
Enumeration DateAugust 30, 2018
Last NPPES UpdateMay 15, 20232 updates tracked since enumeration
NPPES CertifiedMay 15, 2023
NPI 1174005789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
706 N THOMPSON ST, Whiteville, NC 28472

Other Identifiers 1

Medicaid1477538254NC

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
706 N THOMPSON ST
WHITEVILLE, NC 28472
Clinic/Center (Public Health, State or Local)
706 N THOMPSON ST
WHITEVILLE, NC 28472
Social Worker (Clinical)
706 N THOMPSON ST
WHITEVILLE, NC 28472
Social Worker (Clinical)
706 N THOMPSON ST
WHITEVILLE, NC 28472

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.

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.