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Port Health Services

Community/Behavioral Health Agency in Greenville, NC · enumerated 2007 · authorized official Brett Beavers, Credentialing Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194874925

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Registry record

Entity type Organization (Type 2)
Legal business name Port Health Services
Other name <Unavail>
Practice address 501 Paladin Dr, Greenville, NC, 27834
Fax (252) 321-7300
Enumeration date Jan 10, 2007
Last updated in NPPES May 15, 2023

Taxonomy & classification

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers · License MHL-074-146 (NC) Secondary
251S00000X Community/Behavioral Health Agency Agencies Primary

Authorized official

Name Brett Beavers
Title Credentialing Manager

Other identifiers

Identifier Type State Issuer
8300231 Medicaid NC -
6005329 Medicaid NC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Port Health Services?
Port Health Services is registered in NPPES as a Community/Behavioral Health Agency (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-05-15.