WAYNE HEALTH PHYSICIANS (NPI# 1396978169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396978169 |
| Entity Type | Organization |
| Organization Name | WAYNE HEALTH PHYSICIANS |
| Practice Address |
2400 Wayne Memorial Dr Suite J Goldsboro NC 27534-1789 |
| Mailing Address |
Po Box 250 Beaver PA 15009-0250 |
| Practice Telephone | 9195874081 |
| Practice Fax Number | 9195870775 |
| Mailing Telephone | 8006340201 |
| Mailing Fax Number | 8667270896 |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2016-09-14 |
| Authorized Official Name | MR. CLYDE LOUIS THOMAS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9195874081 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAYNE HEALTH CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5913954 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053661066 | Wayne Health Physicians | Social Worker | 208 Cox Blvd, Suite 100, Goldsboro, NC 27534-9414 | 2012-09-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Wayne Health Physicians | 2700 Wayne Memorial Drive, Goldsboro, NC 27533 |
| Street Address |
2400 WAYNE MEMORIAL DR SUITE J |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27534-1789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922000678 | Benjamin D Eskra | Plastic Surgery | 2400 Wayne Memorial Dr, Suite B, Goldsboro, NC 27534-1789 | 2005-08-12 |
| 1477912632 | Jamie Ryan Ham | Nurse Practitioner | 2400 Wayne Memorial Dr, Suite I, Goldsboro, NC 27534-1789 | 2016-02-16 |
| 1932565694 | Swack Medical Associates | Internal Medicine | 2400 Wayne Memorial Dr, Suite C, Goldsboro, NC 27534-1789 | 2016-01-12 |
| 1851627780 | Goldsboro Medical Clinic | Non-Pharmacy Dispensing Site | 2400 Wayne Memorial Dr, Suite 1, Goldsboro, NC 27534-1789 | 2009-10-28 |
| 1548409261 | Waynesborough Psychological Services | Psychologist | 2400 Wayne Memorial Dr, Suite E, Goldsboro, NC 27534-1789 | 2009-02-19 |
| 1598943813 | Goldsboro Medical Center, P.a. | Specialist | 2400 Wayne Memorial Dr, Suite J, Goldsboro, NC 27534-1789 | 2008-02-08 |
| 1891854311 | Paula Hill Ivey | Nurse Practitioner | 2400 Wayne Memorial Dr, Suite A, Goldsboro, NC 27534-1789 | 2006-12-08 |
| 1780763003 | Christopher D. Boyle | Psychologist | 2400 Wayne Memorial Dr, Suite E, Goldsboro, NC 27534-1789 | 2006-11-06 |
| 1285725697 | Christine Kabanga Ilunga | Internal Medicine | 2400 Wayne Memorial Dr, Suite D, Goldsboro, NC 27534-1789 | 2006-09-28 |
| 1801994819 | Deepak Cuddapah | Internal Medicine | 2400 Wayne Memorial Dr, Ste I, Goldsboro, NC 27534-1789 | 2006-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457875767 | Trent Jonathan Forshey | Physical Therapist | 2126 Wayne Memorial Dr, Goldsboro, NC 27534 | 2017-07-28 |
| 1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
| 1952845471 | Latoya Faulk | Social Worker | 121 Carolina Forest Drive, Goldsboro, NC 27534 | 2016-12-19 |
| 1528415841 | Kelby Joseph Sage Durnin | Military Health Care Provider | 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 | 2016-05-17 |
| 1528490604 | Eric Christian Bourgeois | Physical Therapist | 1101a Gracie Pl, Goldsboro, NC 27534 | 2013-07-31 |
| 1831439165 | Erica Nicole Davis | Optometrist | 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 | 2013-02-23 |
| 1891039236 | Betty Webb Zimmerman | Nurse Practitioner | 204 Cox Blvd, Goldsboro, NC 27534 | 2012-11-26 |
| 1144595265 | Life Recovery Psychological Services | Counselor | 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 | 2012-03-22 |
| 1558596536 | Taylor Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802 Taylor St, Goldsboro, NC 27534 | 2009-05-20 |
| 1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
| Find all providers in zip 27534 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104127968 | W. Woodrow Albertson Pa | Clinic/Center | 2300 Us Highway 70 W, Goldsboro, NC 27530-7793 | 2010-11-10 |
| 1033340310 | Academics Plus, Inc | Clinic/Center | 706 N. Berkeley Blvd., Goldsboro, NC 27534-3410 | 2009-08-04 |
| 1407065253 | Select Medical Rehabilitation Services Inc | Clinic/Center | 1601 Peachtree St, Goldsboro, NC 27530-4005 | 2007-05-21 |
| 1720550940 | Open Water Medical, Pa | Clinic/Center | 1209 E Ash St, Goldsboro, NC 27530-5103 | 2018-12-28 |
| 1043702889 | Cynthia Vail, Pa-c, Pa | Clinic/Center | 1509 E Ash St, Goldsboro, NC 27530-5203 | 2018-06-06 |
| 1073800983 | County of Wayne | Clinic/Center | 301 N Herman St, Goldsboro, NC 27530-2935 | 2011-06-30 |
| 1093858672 | Matrix Occupational Health Inc | Clinic/Center | 212 N Spence Ave, Goldsboro, NC 27534-4318 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871807 | Little Beam Rehabilitation Services | Clinic/Center | 1745 Us Highway 64 W, Plymouth, NC 27962-9325 | 2020-11-04 |
| 1962000828 | Flash Rsn Family and Urgent Care, Pllc | Clinic/Center | 316 Summerwalk Rd, Greensboro, NC 27455-1556 | 2020-10-13 |
| 1225645542 | Island Time Medical and Wellness, Pllc | Clinic/Center | 39 Dowitcher Trl, Bald Head Island, NC 28461 | 2020-09-30 |
| 1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
| 1568088672 | Whole Life Chiropractic PC | Clinic/Center | 5410 Page Rd Ste 3, Durham, NC 27703-8230 | 2020-06-24 |
| 1487270674 | Fall Forward Wellness Center | Clinic/Center | 12709 Caldwell Rd, Charlotte, NC 28213-3811 | 2020-06-23 |
| 1710510482 | Tailored Telehealth | Clinic/Center | 218 Westover Dr, Asheville, NC 28801-1638 | 2020-02-20 |
| 1114567930 | Metroview Healthcare Solutions Inc | Clinic/Center | 301 E John St Ste 2501, Matthews, NC 28105-4837 | 2020-01-09 |
| 1174160923 | Newell Health | Clinic/Center | 10208 Cerny St Ste 308, Raleigh, NC 27617-7885 | 2019-11-27 |
| 1871138644 | Ourhealth Physicians Group, LLC | Clinic/Center | 2335 Matthews Township Pkwy Ste 101, Matthews, NC 28105-2403 | 2019-11-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.