IMMEDIATE CARE OF GOLDSBORO, PLLC (NPI# 1952397028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952397028 |
| Entity Type | Organization |
| Organization Name | IMMEDIATE CARE OF GOLDSBORO, PLLC |
| Practice Address |
2604 Medical Office Pl Goldsboro NC 27534-9417 |
| Practice Telephone | 9195800004 |
| Practice Fax Number | 9195809099 |
| Mailing Telephone | 9195800004 |
| Mailing Fax Number | 9195809099 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2008-02-08 |
| Authorized Official Name | DR. TERRY ALAN GRANT (PRESIDENT) |
| Authorized Official Telephone | 9195800004 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 890250U | 05 | |
| BLUE CROSS BLUE SHIELD | 0250U | 01 |
| Street Address |
2604 MEDICAL OFFICE PL |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27534-9417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104108414 | Stacey N Hill | Physician Assistant | 2604 Medical Office Pl, Goldsboro, NC 27534-9417 | 2011-09-13 |
| 1205135258 | Jessica E Newman | Physician Assistant | 2604 Medical Office Pl, Goldsboro, NC 27534-9417 | 2011-03-16 |
| 1487744306 | Jose Lopez Maldonado | Physician Assistant | 2604 Medical Office Pl, Goldsboro, NC 27534-9417 | 2006-10-13 |
| 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 | 261QE0002X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Emergency Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770885139 | Rosewood Immediate Care Pllc | Clinic/Center | 166 B Us Hwy 581 South, Goldsboro, NC 27530-9557 | 2010-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407097488 | Asheville Urgent Care PC | Clinic/Center | 160 Hendersonville Rd, Asheville, NC 28803 | 2009-03-20 |
| 1902988801 | Stokes Reynolds Memorial Hospital, Inc. | Clinic/Center | 402 West King Street, King, NC 27021-0402 | 2006-10-19 |
| 1801989785 | East Carolina Gastroenterology Endoscopy Center | Clinic/Center | 4 Office Park Drive, Jacksonville, NC 28546 | 2006-10-02 |
| 1033174487 | Clinton Associates LLP | Clinic/Center | 136 Mimosa Dr, Asheville, NC 28806-1719 | 2006-04-19 |
| 1417461682 | Vigilint Expeditionary Solutions | Clinic/Center | 900 Perimeter Park Dr Ste G, Morrisville, NC 27560-8725 | 2017-11-27 |
| 1841733714 | Lifebrite Hospital Group of Stokes, LLC | Clinic/Center | 1570 Nc 8 and 89 Hwy N, Danbury, NC 27016-7360 | 2016-11-28 |
| 1164719415 | Pioneer Health Services of Stokes County, Inc. | Clinic/Center | 1570 Nc 8 and 89 Hwy N, Danbury, NC 27016-7360 | 2011-07-07 |
| 1114214871 | Pioneer Health Services of Stokes County, Inc. | Clinic/Center | 402 W King St, King, NC 27021-9170 | 2011-07-01 |
| 1205002789 | Bladen Healthcare, LLC | Clinic/Center | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2008-05-05 |
| 1649463993 | Anjan Medical Management Pllc | Clinic/Center | 1444 S 17th St, Wilmington, NC 28401-6436 | 2007-08-21 |
| Find all providers with the same taxonomy | ||||
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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.