OUTREACH MANAGEMENT SERVICES LLC
NPI 1417080680
Community/Behavioral Health in Gastonia, NC

Active since March 14, 2007
1723 ARMSTRONG PARK DR, GASTONIA, NC 28054(704) 854-9828(704) 854-9882 Get Directions Write a Review

NPPES record last updated: February 17, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Outreach Management Services Llc NPPES

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

OUTREACH MANAGEMENT SERVICES LLC (NPI 1417080680) is a healthcare organization registered as a community/behavioral health in Gastonia, North Carolina and active in the NPI registry since March 2007. The organization lists Alexander Xavier Walker, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1417080680
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameOUTREACH MANAGEMENT SERVICES LLC
Location Address1723 ARMSTRONG PARK DRGastonia, NC 28054-4802
Mailing Address1723 Armstrong Park DrGastonia, NC 28054-4802 · (704) 854-9828 · Fax (704) 854-9882
Fax(704) 854-9882
Organization SubpartNo
Authorized OfficialAlexander Xavier WalkerExecutive Director · (704) 854-9828
Enumeration DateMarch 14, 2007
Last NPPES UpdateFebruary 17, 2010
✔ NPI 1417080680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in NC · MHL-036-235
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.
Also ListedCase ManagementTaxonomy 251B00000X · License MHL-036-235 (NC)
1723 ARMSTRONG PARK DR, Gastonia, NC 28054

Other Identifiers 7

Medicaid8300696NC
Medicaid6005781NC
Medicaid8300696BNC
Medicaid8300696GNC
Medicaid8300696DNC
Medicaid8300696QNC
Medicaid8300696HNC

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)

Outreach Management Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Outreach Management Services LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Nurse Practitioner
NPI 1336763176
1337 E GARRISON BLVD
Gastonia, NC 28054
(704) 865-3848
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1033434519
830 SUMMIT CROSSING PL
Gastonia, NC 28054
(704) 917-7610
✔ PECOS1.5 mi
Mental Health Counselor
NPI 1750428751
2200 E 7TH ST
Charlotte, NC 28204
(704) 376-7180
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1326541574
5500 EXECUTIVE CENTER DR STE 235
Charlotte, NC 28212
(704) 493-8619
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1932292067
327 1ST AVE NW
Hickory, NC 28601
(828) 695-5900
✔ PECOS35 mi
Clinical Social Worker
NPI 1033347323
119 W DEPOT ST
Mocksville, NC 27028
(336) 751-5636
✔ PECOS✔ Accepts Medicare55 mi
Nurse Practitioner
NPI 1376099887
698 FAIRVIEW RD
Simpsonville, SC 29680
(910) 585-2988
✔ PECOS✔ Accepts Medicare74 mi
Nurse Practitioner
NPI 1326462524
2645 MERIDIAN PKWY STE 323
Durham, NC 27713
(984) 227-8902
✔ PECOS134 mi

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 Outreach Management Services LLC's NPI number?

The NPI number for Outreach Management Services LLC is 1417080680. It was assigned to this organization in the NPPES registry on March 14, 2007.

Where is Outreach Management Services LLC located?

Outreach Management Services LLC is located at 1723 Armstrong Park Dr, Gastonia, NC 28054. The listed phone number is (704) 854-9828.

What is Outreach Management Services LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Outreach Management Services LLC enrolled in Medicare?

Yes. Outreach Management Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Outreach Management Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Outreach Management Services LLC. 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 (1) and Mental Health Counselor (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Outreach Management Services LLC accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina and Cigna Healthcare list Outreach Management Services LLC 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 Outreach Management Services LLC was last updated on February 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.