EVERGREEN BEHAVIORAL MANAGEMENT, INC.
NPI 1497994099
Community/Behavioral Health in Wilmington, NC

NPI Status: Active since February 05, 2009

Contact Information

1911 S 17TH ST
SUITE 100
WILMINGTON, NC
ZIP 28401
Phone: (910) 791-9625
Fax: (910) 792-9799

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  • Organization
  • Community/Behavioral Health

About EVERGREEN BEHAVIORAL MANAGEMENT, INC.

This page provides the complete NPI Profile along with additional information for Evergreen Behavioral Management, Inc., a provider established in Wilmington, North Carolina operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1497994099 assigned on February 2009. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mrs. Ginger G Gore (Owner)

NPI
1497994099
Provider Name
EVERGREEN BEHAVIORAL MANAGEMENT, INC.
Entity Type
Organization
Location Address
1911 S 17TH ST SUITE 100 WILMINGTON, NC 28401
Location Phone
(910) 791-9625
Location Fax
(910) 792-9799
Mailing Address
PO BOX 425 WHITEVILLE, NC 28472
Mailing Phone
(910) 640-5512
Mailing Fax
(910) 792-9799
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-05-2009
Last Update Date
03-13-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. GINGER G GORE

Authorized Official Title
OWNER
Authorized Official Phone
(910) 640-5512

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
8300538MEDICAID (05)NC 
2326986MEDICARE PIN (08)NC 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1497994099, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 81. The final step is to find the difference between that total and the next multiple of ten (90 - 81 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
7
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
9
Unchanged
Pos 7
4
Doubled → 8
Pos 8
0
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 9 → 18 → 9 4 → 8 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 8 + 7 + 1 + 8 + 9 + 8 + 0 + 1 + 8 + 24 = 81

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 81 is 90. The difference is the calculated check digit.

90 - 81 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1497994099.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Counselor (Mental Health)
1911 S 17TH ST, SUITE 100
WILMINGTON, NC 28401
Podiatrist
1911 S 17TH ST, SUITE 130-B
WILMINGTON, NC 28401
Social Worker (Clinical)
1911 S 17TH ST
WILMINGTON, NC 28401
Family Medicine
1911 S 17TH ST, SUITE 130-A
WILMINGTON, NC 28401
Podiatrist
1911 S 17TH ST, SUITE 130-B
WILMINGTON, NC 28401
Social Worker (Clinical)
1911 S 17TH ST, WILMINGTON
WILMINGTON, NC 28401
Counselor (Professional)
1911 S 17TH ST
WILMINGTON, NC 28401
Behavior Analyst
1911 S 17TH ST
WILMINGTON, NC 28401
Physician Assistant (Medical)
1911 S 17TH ST, SUITE 130A
WILMINGTON, NC 28401
Dentist (Pediatric Dentistry)
1911 S 17TH ST, STE 140
WILMINGTON, NC 28401
Physician Assistant
1911 S 17TH ST, SUITE 130A
WILMINGTON, NC 28401
Family Medicine
1911 S 17TH ST, STE 130-A
WILMINGTON, NC 28401
Physician Assistant
1911 S 17TH ST, STE 130A
WILMINGTON, NC 28401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497994099, enumerated as an "organization" on February 05, 2009.

The provider is located at 1911 S 17TH ST SUITE 100 WILMINGTON, NC 28401 and the phone number is (910) 791-9625.

Community/Behavioral Health with taxonomy code 251S00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.