OrganizationActive
Amethyst LLC
NPI 1255773792 · Exclusive Provider Organization · Wilson, NC
Provider details
- NPI number
- 1255773792
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Tammy Coleman, Owner(252) 230-0631
- License
- 1207282 (NC)
Specialties & taxonomies
Managed Care Organizations
Practice location
806 Ne Roundtree Street
Wilson, NC 27893-0806
Phone: (252) 230-0631
Approximate (ZIP-level) locationGet directions
Mailing address
806 Ne Roundtree Street
Wilson, NC 27893-0806
Registry dates
- Enumerated
- 2013-07-25
- Last updated
- 2013-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.