GOLDSBORO MEDICAL CENTER P.A. NPI 1598943813

NPI Information

  • NPI: 1598943813
  • Provider Name: GOLDSBORO MEDICAL CENTER, P.A.
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • CLIA Number: 34D0962191
  • Address: 2400 WAYNE MEMORIAL DR
    SUITE J
    GOLDSBORO, NC
    ZIP 27534
  • Phone: (919) 739-9599

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NPI Details

GOLDSBORO MEDICAL CENTER, P.A. is an internal medicine in Goldsboro, NC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. GOLDSBORO MEDICAL CENTER, P.A. NPI is 1598943813. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2400 WAYNE MEMORIAL DR
SUITE J
GOLDSBORO, NC
ZIP 27534-789
Phone: (919) 739-9599
Fax: (919) 739-5535

The provider's authorized official is Muin M Dugom .
The authorized official title is President and has the following contact phone number (919) 739-9599.

The CLIA number assigned to this NPI record is 34D0962191 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/8/2008 and was last updated on 2/1/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist9600902NORTH CAROLINANo
2208D00000XGeneral Practice9600902NORTH CAROLINANo
3207R00000XInternal Medicine9600902NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
129352OTHERNORTH CAROLINABLUE CROSS
22228004CMEDICARE PINNORTH CAROLINA
3147TCOTHERNORTH CAROLINABLUE CROSS BLUE SHIELD
4=========OTHERNORTH CAROLINATAX ID#
5562122497OTHERNORTH CAROLINATAX ID#
62228004DMEDICARE PINNORTH CAROLINA
7G35254MEDICARE UPINNORTH CAROLINA
88929352MEDICAIDNORTH CAROLINA
92228004BMEDICARE PINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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