OrganizationActive
Pelham Supportive Services
NPI 1649558933 · Community/Behavioral Health Agency · St Pauls, NC
Pelham Supportive Services is a Community/Behavioral Health Agency organization in St Pauls, NC (NPI 1649558933).
Provider details
- NPI number
- 1649558933
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Mildred Wilson, President(910) 630-6757
- License
- MNL-078-284 (NC)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
315 a West Broad Street
St Pauls, NC 28384-1535
Phone: (910) 865-3358
Fax: (910) 865-3358
Street-level locationGet directions
Mailing address
949 Country Club Dr
Fayetteville, NC 28301-2907
Registry dates
- Enumerated
- 2011-08-03
- Last updated
- 2011-08-03
Frequently asked questions
- What is Pelham Supportive Services's NPI number?
- Pelham Supportive Services's National Provider Identifier (NPI) is 1649558933, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pelham Supportive Services?
- Pelham Supportive Services is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Pelham Supportive Services located?
- Pelham Supportive Services's practice location on file with NPPES is 315 a West Broad Street, St Pauls, NC 28384-1535.
- What is Pelham Supportive Services's phone number?
- The practice phone number listed in the NPPES registry for Pelham Supportive Services is (910) 865-3358.
- Who is the authorized official for Pelham Supportive Services?
- The authorized official listed on Pelham Supportive Services's NPPES record is Mildred Wilson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pelham Supportive Services's NPI active?
- Yes — Pelham Supportive Services's NPI (1649558933) is active in the NPPES registry as of the last update on 2011-08-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.