Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Port Health Services

Counselor in Greenville, NC · enumerated 2005 · authorized official Brett Beavers, Credentialing Manager.

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

National Provider Identifier

1477538254

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Registry record

Entity type Organization (Type 2)

Legal business name Port Health Services

Other name <Unavail>

Practice address 2602 Courtier Dr, Greenville, NC, 27834

Phone (252) 752-0483

Fax (252) 757-3172

Enumeration date Dec 14, 2005

Last updated in NPPES May 24, 2023

Taxonomy & classification

101Y00000X Counselor Behavioral Health & Social Service Providers · License MHL-074-157 (NC) Primary

251S00000X Community/Behavioral Health Agency Agencies Secondary

261QC1500X Community Health Clinic/Center Ambulatory Health Care Facilities Secondary

291U00000X Clinical Medical Laboratory Laboratories Secondary

3245S0500X Children's Substance Abuse Rehabilitation Facility Residential Treatment Facilities · License MHL-074-145 (NC) Secondary

Authorized official

Name Brett Beavers

Title Credentialing Manager

Phone (919) 210-7661

Other identifiers

Identifier	Type	State	Issuer
6005329	Medicaid	NC	-
6005332	Medicaid	NC	-
6005334	Medicaid	NC	-
6005597	Medicaid	NC	-
6603789	Medicaid	NC	-
016X5	Other	NC	BCBS PROVIDER NUMBER
6005592	Medicaid	NC	-
5900726	Medicaid	NC	-
5900727	Medicaid	NC	-
6603790	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

Where is Port Health Services located?

The practice location on file with NPPES is in Greenville, NC.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-05-24. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-05-24.