NOVA IC, INC - NPI 1649574450 - Community/Behavioral Health in Goldsboro, NC

Q: What is Nova Ic, Inc's NPI number?

The NPI number for Nova Ic, Inc is 1649574450. It was assigned to this organization in the NPPES registry on January 8, 2011. The provider is also known as Roanoke Rapids North.

Q: What is Nova Ic, Inc's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nova Ic, Inc was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.

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About Nova Ic, Inc NPPES

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

NOVA IC, INC (NPI 1649574450) is a healthcare organization registered as a community/behavioral health in Goldsboro, North Carolina and active in the NPI registry since January 2011. The organization lists Tracey Pridgen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1649574450

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameNOVA IC, INC

Location Address2307 NORWOOD AVE STE AGoldsboro, NC 27534-1601

Mailing AddressPo Box 11077Goldsboro, NC 27532-1077 · (919) 734-8803 · Fax (919) 735-6825

Phone(919) 734-8803

Fax(919) 735-6825

Organization SubpartNo

Authorized OfficialTracey PridgenCfo · (919) 734-8803

Enumeration DateJanuary 8, 2011

Last NPPES UpdateOctober 8, 20254 updates tracked since enumeration

NPPES CertifiedOctober 8, 2025

✔ NPI 1649574450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in NC · MHL-042-059

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.

2307 NORWOOD AVE STE A, Goldsboro, NC 27534

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Other Names 1

Other NameRoanoke Rapids North

Other Identifiers 1

Medicaid8300824NC

Other Providers at the Same Location NPPES 9

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

NOVA IC, INC.

Psychiatry & Neurology (Psychiatry)