OCTOBER ROAD, INC.
NPI 1992419550
Community/Behavioral Health in Walnut Cove, NC
About October Road, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OCTOBER ROAD, INC. (NPI 1992419550) is a healthcare organization registered as a community/behavioral health in Walnut Cove, North Carolina and active in the NPI registry since January 2023. The organization lists Jason Hendricks, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
October Road, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
22Medicare enrollment records show 22 clinicians reassign Medicare billing to October Road, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 22Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 October Road, Inc.'s NPI number?
The NPI number for October Road, Inc. is 1992419550. It was assigned to this organization in the NPPES registry on January 9, 2023.
Where is October Road, Inc. located?
October Road, Inc. is located at 522 N Main St, Walnut Cove, NC 27052. The listed phone number is (828) 350-1000.
What is October Road, Inc.'s specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is October Road, Inc. enrolled in Medicare?
Yes. October Road, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through October Road, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 5 Medicare specialties reassign their Medicare billing to October Road, Inc.. 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. The largest specialties are Clinical Social Worker (11), Nurse Practitioner (6) and Mental Health Counselor (2). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does October Road, Inc. accept?
Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list October Road, 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 October Road, Inc. was last updated on April 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# October Road, Inc. · NPI 1992419550
Community/Behavioral Health organization in Walnut Cove, North Carolina. Organization record, active in the CMS NPPES registry since January 9, 2023.
## Identity
- **NPI:** 1992419550 (Entity type: Organization)
- **Enumerated:** January 9, 2023
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Jason Hendricks, CEO
## Practice location
- **Address:** 522 N MAIN ST, Walnut Cove, NC 27052-9247
- **Phone:** (828) 350-1000 · **Fax:** (828) 350-1300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 22 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (11), Nurse Practitioner (6), Mental Health Counselor (2); 1 practice at this address; [full list](https://npiprofile.com/npi/1992419550/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1992419550) · Data from the CMS NPPES public registry.