DBA - COLUMBIA MEDICAL CENTER
NPI 1477583102
Clinic/Center - Rural Health in Columbia, NC
About Dba - Columbia Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DBA - COLUMBIA MEDICAL CENTER (NPI 1477583102) is a healthcare organization registered as a rural health in Columbia, North Carolina and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 16, 2027 and lists Irene Leibensperger-cavall, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Dba - Columbia Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Dba - Columbia Medical Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 34D0242518
Columbia Medical Center · Columbia, NCFrequently 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 Tyrrell County Rural Health Association, Inc.'s NPI number?
The NPI number for Tyrrell County Rural Health Association, Inc. is 1477583102. It was assigned to this organization in the NPPES registry on July 5, 2006. The provider is doing business as Dba - Columbia Medical Center.
Where is Tyrrell County Rural Health Association, Inc. located?
Tyrrell County Rural Health Association, Inc. is located at 208 North Broad Street, Columbia, NC 27925. The listed phone number is (252) 796-0689.
What is Tyrrell County Rural Health Association, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Tyrrell County Rural Health Association, Inc. enrolled in Medicare?
Yes. Tyrrell County Rural Health Association, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tyrrell County Rural Health Association, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Tyrrell County Rural Health Association, Inc., in Family Practice and Nurse Practitioner. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Tyrrell County Rural Health Association, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D0242518) is associated with this NPI, valid through March 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Tyrrell County Rural Health Association, Inc. accept?
Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Tyrrell County Rural Health Association, 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 Tyrrell County Rural Health Association, Inc. was last updated on July 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dba - Columbia Medical Center · NPI 1477583102
Rural Health organization in Columbia, North Carolina. Organization record, active in the CMS NPPES registry since July 5, 2006.
## Identity
- **NPI:** 1477583102 (Entity type: Organization)
- **Enumerated:** July 5, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Tyrrell County Rural Health Association, Inc.
- **Organization subpart:** No
- **Authorized official:** Irene Leibensperger-Cavall, MEDICAL DIRECTOR
## Practice location
- **Address:** 208 NORTH BROAD STREET, Columbia, NC 27925
- **Phone:** (252) 796-0689 · **Fax:** (252) 796-0690
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 16, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1477583102) · Data from the CMS NPPES public registry.