MEDICARE: COUNTY OF EDGECOMBE OFFICE OF AUDITOR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician
2	207Q00000X	Family Medicine Physician
3	251B00000X	Case Management Agency
4	261Q00000X	Clinic/Center
5	261QC1500X	Community Health Clinic/Center
6	261QD0000X	Dental Clinic/Center
7	261QF0050X	Non-Surgical Family Planning Clinic/Center
8	261QM2500X	Medical Specialty Clinic/Center
9	261QP2300X	Primary Care Clinic/Center
10	291U00000X	Clinical Medical Laboratory	34DO865324	NC
11	3336C0002X	Clinic Pharmacy	04795	NC
12	363L00000X	Nurse Practitioner
13	261QP0905X	State or Local Public Health Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0706A	OTHER	NC	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770610602
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF EDGECOMBE OFFICE OF AUDITOR

Provider Business Mailing Address
First Line	:	PO BOX 100
Second Line	:
City	:	TARBORO
State	:	NC
Zip	:	27886-0100
Country	:	US
Telephone Number	:	252-641-7511
Fax Number	:	252-641-7565

Provider Business Practice Location Address
First Line	:	122 E SAINT JAMES ST
Second Line	:
City	:	TARBORO
State	:	NC
Zip	:	27886-5016
Country	:	US
Telephone Number	:	252-641-7531
Fax Number	:	252-641-7565

Authorized Official
Title or Position	:	INTERIM HEALTH DIRECTOR
Name	:	MICHELLE BRUMFIELD ETHERIDGE
Credential	:
Telephone Number	:	252-824-3654

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	05/07/2025

Similar Medicare Providers

1780646844 — COUNTY OF EDGECOMBE OFFICE OF AUDITOR
Practice Location Address:

122 E SAINT JAMES ST
TARBORO, NC
27886-5016

Practice Phone: 252-641-7518
Practice Fax: 252-641-7004

1619927043 — COUNTY OF EDGECOMBE OFFICE OF AUDITOR
Practice Location Address:

122 E SAINT JAMES ST
TARBORO, NC
27886-5016

Practice Phone: 252-641-7518
Practice Fax:

1689623134 — COUNTY OF EDGECOMBE OFFICE OF AUDITOR
Practice Location Address:

122 E SAINT JAMES ST
TARBORO, NC
27886-5016

Practice Phone: 252-641-7518
Practice Fax: 252-641-7004

1609998897 — DR. DAVID WALTER MCDANIEL DMD, MPH
Practice Location Address:

122 E SAINT JAMES ST
TARBORO, NC
27886-5016

Practice Phone: 252-641-7583
Practice Fax: 252-641-7504

1881542710 — NEW GRACE WELLNESS, LLC
Practice Location Address:

2208 SAINT ANDREW ST
TARBORO, NC
27886-2119

Practice Phone: 252-289-3778
Practice Fax:

1811845274 — EVERWELL HEALTH SERVICES, LLC
Practice Location Address:

2109 SAINT ANDREW ST STE 14
TARBORO, NC
27886-2146

Practice Phone: 919-397-7667
Practice Fax:

Directions to “COUNTY OF EDGECOMBE OFFICE OF AUDITOR ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.