TRI COUNTY COMMUNITY HEALTH COUNCIL INC
NPI 1407039324
Clinic/Center - Federally Qualified Health Center (FQHC) in Smithfield, NC

Active since December 13, 2007
507 N BRIGHTLEAF BLVD, SUITE 209, SMITHFIELD, NC 27577(877) 935-5255(910) 236-2118 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 31, 2022, Apr 20, 2022 (2 updates tracked since 2022).

About Tri County Community Health Council Inc NPPES

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

TRI COUNTY COMMUNITY HEALTH COUNCIL INC (NPI 1407039324) is a healthcare organization registered as a federally qualified health center (fqhc) in Smithfield, North Carolina and active in the NPI registry since December 2007. The organization lists William C Ellison, Revenue Cycle Manager, as its authorized official.

NPPES Registry Identity

NPI1407039324
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTRI COUNTY COMMUNITY HEALTH COUNCIL INC
Location Address507 N BRIGHTLEAF BLVD, SUITE 209Smithfield, NC 27577-4405
Mailing AddressPo Box 340Four Oaks, NC 27524-0340 · (910) 957-6194 · Fax (910) 567-5342
Fax(910) 236-2118
Organization SubpartNo
Authorized OfficialWilliam C EllisonRevenue Cycle Manager · (910) 567-7065
Enumeration DateDecember 13, 2007
Last NPPES UpdateMarch 27, 20242 updates tracked since enumeration
NPPES CertifiedMarch 27, 2024
✔ NPI 1407039324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
507 N BRIGHTLEAF BLVD, Smithfield, NC 27577

Other Identifiers 1

Other341928NC · Medicare Oscar

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)

Tri County Community Health Council Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

37

Medicare enrollment records show 37 clinicians reassign Medicare billing to Tri County Community Health Council Inc, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Nurse Practitioner15
Dentist12
Clinical Social Worker3
Family Practice3
Infectious Disease1
Obstetrics/Gynecology1
Pediatric Medicine1
Psychiatry1

Nearest to this location (20)

See all 37
Obstetrics/Gynecology
NPI 1831431089
300 S 3RD ST STE C
Smithfield, NC 27577
(919) 938-4040
✔ PECOS✔ Accepts Medicare0.5 mi
Infectious Disease
NPI 1326053067
507 N BRIGHTLEAF BLVD STE 201
Smithfield, NC 27577
(919) 934-8544
✔ PECOS✔ Accepts Medicare0.8 mi
Dentist
NPI 1578917084
725 BOYETTE ROAD
Four Oaks, NC 27524
(910) 567-6194
✔ PECOS5.9 mi
Dentist
NPI 1063805471
70 CRAPE MYRTLE DR
Benson, NC 27504
(910) 567-6194
✔ PECOS12 mi
Nurse Practitioner
NPI 1770685885
3331 EASY ST
Dunn, NC 28334
(910) 567-6194
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1376936013
3331 EASY ST
Dunn, NC 28334
(910) 567-6194
✔ PECOS✔ Accepts Medicare19 mi
Clinical Social Worker
NPI 1699295618
3331 EASY ST
Dunn, NC 28334
(910) 567-6194
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1467174342
1480 MAPLE GROVE CHURCH RD
Dunn, NC 28334
(910) 567-6194
✔ PECOS✔ Accepts Medicare19 mi
Dentist
NPI 1740914571
1508 MAPLE GROVE CHURCH RD
Dunn, NC 28334
(877) 935-5255
✔ PECOS19 mi
Pediatric Medicine
NPI 1558322511
1480 MAPLE GROVE CHURCH RD
Dunn, NC 28334
(910) 567-6194
✔ PECOS19 mi
Dentist
NPI 1962176651
1508 MAPLE GROVE CHURCH RD
Dunn, NC 28334
(877) 935-5255
✔ PECOS19 mi
Dentist
NPI 1780969667
1508 MAPLE GROVE CHURCH RD
Dunn, NC 28334
(910) 567-6194
✔ PECOS19 mi
Dentist
NPI 1689839615
9648 CHAPEL HILL RD
Morrisville, NC 27560
(919) 322-3588
✔ PECOS34 mi
Family Practice
NPI 1770803678
1801 OLIVE CHAPEL RD
Apex, NC 27502
(919) 267-5862
✔ PECOS✔ Accepts Medicare35 mi
Nurse Practitioner
NPI 1720704000
500 S FAYETTEVILLE ST
Salemburg, NC 28385
(910) 567-6194
✔ PECOS✔ Accepts Medicare35 mi
Nurse Practitioner
NPI 1174975387
2000 PERIMETER PARK DR STE 200
Morrisville, NC 27560
(984) 215-4110
✔ PECOS✔ Accepts Medicare36 mi
Clinical Social Worker
NPI 1114597325
324 PERSON ST
Fayetteville, NC 28301
(910) 438-0939
✔ PECOS✔ Accepts Medicare43 mi
Dentist
NPI 1477902153
5531 ELEANOR ROOSEVELT LN
Willard, NC 28478
(910) 285-0400
✔ PECOS61 mi
Family Practice
NPI 1073951802
1333 S DICKINSON DR UNIT 230
Leland, NC 28451
(910) 662-6600
✔ PECOS✔ Accepts Medicare92 mi
Clinical Social Worker
NPI 1457921033
4311 OLD OCEAN HWY
Bolivia, NC 28422
(877) 935-5255
✔ PECOS99 mi
See all 37 clinicians

Source: 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 Tri County Community Health Council Inc's NPI number?

The NPI number for Tri County Community Health Council Inc is 1407039324. It was assigned to this organization in the NPPES registry on December 13, 2007.

Where is Tri County Community Health Council Inc located?

Tri County Community Health Council Inc is located at 507 N Brightleaf Blvd Suite 209, Smithfield, NC 27577. 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, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.