PROGRESSIVE CARE SERVICES INC
NPI 1760620520
Clinic/Center - Adolescent and Children Mental Health in Rocky Mount, NC

Active since January 31, 2009CLIA 34D2129112 · Waiver
3216 ZEBULON RD, ROCKY MOUNT, NC 27804(252) 452-3302 Get Directions Write a Review

NPPES record last updated: January 31, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Progressive Care Services Inc NPPES

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

PROGRESSIVE CARE SERVICES INC (NPI 1760620520) is a healthcare organization registered as an adolescent and children mental health in Rocky Mount, North Carolina and active in the NPI registry since January 2009. The organization holds a CLIA Waiver certificate valid through April 11, 2027 and lists Victor Randolph Moore, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1760620520
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NamePROGRESSIVE CARE SERVICES INC
Location Address3216 ZEBULON RDRocky Mount, NC 27804-2435
Mailing Address3216 Zebulon RdRocky Mount, NC 27804-2435 · (252) 452-3302
Organization SubpartNo
Authorized OfficialVictor Randolph MooreExecutive Director · (252) 452-3302
Enumeration DateJanuary 31, 2009
✔ NPI 1760620520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
3216 ZEBULON RD, Rocky Mount, NC 27804

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Progressive Care Services Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Progressive Care Services Inc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Clinical Social Worker
NPI 1184133068
162 NC HIGHWAY 33 E
Tarboro, NC 27886
(252) 641-0514
✔ PECOS✔ Accepts Medicare27 mi
Nurse Practitioner
NPI 1538615265
2101 GARNER RD
Raleigh, NC 27610
(919) 787-6131
✔ PECOS✔ Accepts Medicare47 mi
Nurse Practitioner
NPI 1063843340
2481 LLEWELLYN AVENUE
Fort Meade, MD 20755
(301) 677-8749
✔ PECOS224 mi

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 34D2129112

Progressive Care Services, Inc · Rocky Mount, NC
Active · expires Apr 11, 2027
CLIA Number34D2129112
Laboratory TypeCommunity Clinic
Certificate Effective DateApril 12, 2025
Certificate Expiration DateApril 11, 2027
Laboratory DirectorVictor R. Moore Jr
Laboratory Phone(252) 985-3216
Laboratory LocationProgressive Care Services, Inc2747 Sunset Avenue, Suite 109, Rocky Mount, NC 27804
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Progressive Care Services Inc's NPI number?

The NPI number for Progressive Care Services Inc is 1760620520. It was assigned to this organization in the NPPES registry on January 31, 2009.

Where is Progressive Care Services Inc located?

Progressive Care Services Inc is located at 3216 Zebulon Rd, Rocky Mount, NC 27804. The listed phone number is (252) 452-3302.

What is Progressive Care Services Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Is Progressive Care Services Inc enrolled in Medicare?

Yes. Progressive Care Services Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Progressive Care Services Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Progressive Care Services Inc, in Clinical Social Worker 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Progressive Care Services Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2129112) is associated with this NPI, valid through April 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Progressive Care Services Inc was last updated on January 31, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.