North Carolina Access Score: 10/100
Composite of methadone OTP density, buprenorphine provider density, mental health shortage need-met %, Medicaid coverage breadth, 1115 SUD waiver status, and legal protections. How we score.
Methadone Clinics in North Carolina
North Carolina has 78 currently SAMHSA-certified opioid treatment programs across 53 cities. Methadone is dispensed daily on-site at OTPs, which is the regulatory boundary that defines this list.
Composite analysis
Treatment Access Pressure Index
Very high pressure76.5Rank 13 of 52
North Carolina sits in the top quarter of states for treatment access pressure. Demand signals are elevated and verified provider supply is thin relative to population.
Mental health HPSA score (weighted)
17.76
0–25 scale. Higher means greater federally-designated shortage.
32,149,860 residents live inside designated mental health HPSAs.
Source: HRSA Data Warehouse
Frequent mental distress
16.9%
Population-weighted share of adults reporting 14+ days of poor mental health in the last month.
Source: CDC PLACES (BRFSS 2022)
Unemployment rate
3.8%
Seasonally adjusted state unemployment, used as a stress proxy.
Latest period: M02 2026.
Source: BLS Local Area Unemployment Statistics
Verified treatment density
5.54
Methadone OTPs plus buprenorphine prescribers per 100,000 residents. Higher density lowers pressure.
(80 OTPs, 520 bupren providers.)
Source: SAMHSA + CMS NPPES (CCIWA dataset)
TAPI is a CCIWA composite. Each input is z-scored across 50 states plus DC and Puerto Rico, then combined as a weighted sum (HPSA 30%, frequent mental distress 25%, unemployment 15%, treatment density 30%, sign-flipped). The result is rescaled 0 to 100 by percentile rank. Read the full methodology.
F
Score breakdown
| Component | Detail | Points |
|---|---|---|
| OTP density | Unknown | 0 / 30 |
| Buprenorphine density | Unknown | 0 / 20 |
| Mental health HPSA need met | Unknown | 10 / 20 |
| Medicaid breadth | 0 of 5 service categories covered | 0 / 15 |
| 1115 SUD waiver | None | 0 / 10 |
| Legal protections | Good Samaritan: No · Naloxone access: No | 0 / 5 |
Demand snapshot
53 cities with verified methadone clinics
Ahoskie (1) Apex (1) Asheboro (1) Asheville (5) Boone (1) Cedar Point (1) Charlotte (4) Cherokee (1) Clayton (1) Clyde (1) Concord (1) Durham (4) Elizabeth City (1) Erwin (1) Fayetteville (2) Franklin (1) Gastonia (2) Goldsboro (1) Greensboro (3) Greenville (3) Henderson (1) Hickory (2) High Point (1) Hillsborough (1) Jacksonville (1) Lenoir (1) Lexington (1) Lumberton (1) Marion (1) Morehead City (1) Morganton (1) Nags Head (1) New Bern (2) North Wilkesboro (2) Pinehurst (1) Raleigh (3) Roanoke Rapids (1) Rocky Mount (1) Rocky Point (1) Salisbury (1) Sanford (1) Shallotte (2) Shelby (1) Siler City (1) Statesville (2) Taylorsville (1) Thomasville (1) Waynesville (1) Weaverville (1) Wilmington (3) Wilson (1) Winston Salem (1) Zebulon (1)