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GREATER IMAGE HEALTHCARE CORP
NPI 1417385816
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Southern Pines, NC

Active since October 22, 2013
114 GREENHOUSE LN, SOUTHERN PINES, NC 28387(910) 246-2272 Get Directions Write a Review

NPPES record last updated: May 11, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Greater Image Healthcare Corp NPPES

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

GREATER IMAGE HEALTHCARE CORP (NPI 1417385816) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Southern Pines, North Carolina and active in the NPI registry since October 2013. The organization lists Rodney L Johnson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417385816
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameGREATER IMAGE HEALTHCARE CORP
Location Address114 GREENHOUSE LNSouthern Pines, NC 28387-3140
Mailing Address401 Robeson StFayetteville, NC 28301-5635 · (910) 321-0069
Phone(910) 246-2272
Organization SubpartNo
Authorized OfficialRodney L JohnsonCeo · (910) 321-0069
Enumeration DateOctober 22, 2013
Last NPPES UpdateMay 11, 2017
✔ NPI 1417385816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in NC · MHL-063-104
Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

114 GREENHOUSE LN, Southern Pines, NC 28387
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Other Identifiers 1

Other1417385816NC · Npi

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 34D2104655

Greater Image Healthcare Corp · Fayetteville, NC
Expired · Mar 13, 2026
CLIA Number34D2104655
Laboratory TypePhysician Office
Certificate Effective DateMarch 14, 2024
Certificate Expiration DateMarch 13, 2026
Laboratory DirectorDr. Eric Q. Mizelle
Laboratory Phone(910) 321-0069
Laboratory LocationGreater Image Healthcare Corp401 Robeson Street, Fayetteville, NC 28301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

PETERKIN & ASSOCIATES, INC.
Intermediate Care Facility, Intellectual Disabilities
114 GREENHOUSE LN
SOUTHERN PINES, NC 28387
Moore County (910) 323-1817
KIDS' RESIDENTIAL SERVICES, INC.
Community/Behavioral Health
114 GREENHOUSE LN
SOUTHERN PINES, NC 28387
Moore County (910) 496-0661

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 Greater Image Healthcare Corp's NPI number?

The NPI number for Greater Image Healthcare Corp is 1417385816. It was assigned to this organization in the NPPES registry on October 22, 2013.

Where is Greater Image Healthcare Corp located?

Greater Image Healthcare Corp is located at 114 Greenhouse Ln, Southern Pines, NC 28387. The listed phone number is (910) 246-2272.

What is Greater Image Healthcare Corp's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Greater Image Healthcare Corp was last updated on May 11, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.