Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amethyst LLC

Organization Exclusive Provider Organization · NPI 1255773792

Amethyst LLC is an Exclusive Provider Organization in Wilson, North Carolina. Licensed in North Carolina. Registered with an NPI since 2013.

Licensed in
NC
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

806 NE Roundtree St
Wilson, NC 27893-0806
Phone: (252) 230-0631
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Exclusive Provider Organization (primary) Taxonomy 302F00000X · Licence 1207282 (NC)

Record details

NPI number1255773792
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tammy Coleman — Owner · (252) 230-0631
NPI enumeratedJuly 25, 2013
Last updated in NPPESJuly 25, 2013
Mailing address806 Ne Roundtree Street, Wilson, NC 27893-0806