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PORT HEALTH SERVICES
NPI 1518195072
Community/Behavioral Health in Elizabeth City, NC

Active since June 23, 2009
102 MEDICAL DR STE A&B, ELIZABETH CITY, NC 27909(252) 335-0803(252) 331-1796 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 24, 2023, Jul 21, 2022, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Port Health Services NPPES

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

PORT HEALTH SERVICES (NPI 1518195072), doing business as Port Human Services, is a healthcare organization registered as a community/behavioral health in Elizabeth City, North Carolina and active in the NPI registry since June 2009. The organization lists Brett Beavers, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1518195072
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePORT HEALTH SERVICES
Location Address102 MEDICAL DR STE A&BElizabeth City, NC 27909-3361
Mailing Address4300 Sapphire Ct Ste 110Greenville, NC 27834-9079 · (252) 830-7540 · Fax (252) 413-0932
Phone(252) 335-0803
Fax(252) 331-1796
Organization SubpartNo
Authorized OfficialBrett BeaversCredentialing Manager · (919) 210-7661
Enumeration DateJune 23, 2009
Last NPPES UpdateMay 24, 20235 updates tracked since enumeration
NPPES CertifiedMay 24, 2023
✔ NPI 1518195072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
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 ListedCounselorTaxonomy 101Y00000X
102 MEDICAL DR STE A&B, Elizabeth City, NC 27909
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Other Names 1

Former Legal Business NamePort Human Services

Other Identifiers 1

Medicaid6006852NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

JEAN TRUESDALE LCSWSA
Social Worker (Clinical)
102 MEDICAL DR STE A&B
ELIZABETH CITY, NC 27909
Pasquotank County (252) 335-0803

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 Port Health Services's NPI number?

The NPI number for Port Health Services is 1518195072. It was assigned to this organization in the NPPES registry on June 23, 2009. The provider was formerly known as Port Human Services.

Where is Port Health Services located?

Port Health Services is located at 102 Medical Dr Ste A&b, Elizabeth City, NC 27909. The listed phone number is (252) 335-0803.

What is Port Health Services's specialty?

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

When was this NPI record last updated?

The NPPES record for Port Health Services was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.