Individual provider Active NPI

Tamika Corprew, FNP

  • Primary Care Nurse Practitioner
  • Goldsboro, NC
National Provider Identifier
1093679730
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
5023641 Issued in NC
Practice address
139B N Center St
Goldsboro, NC 27530-3620
Phone
(984) 422-2681
NPI assigned
Dec 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 5023641 NC Primary

Addresses

Primary practice location

139B N Center St
Goldsboro, NC 27530-3620

Mailing address

139B N Center St
Goldsboro, NC 27530-3620
Phone (984) 422-2681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260223000285 NC Practitioner - Nurse Practitioner 1759862360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilson Community Family PracticeGroup PAC ID 4587812284, 2 clinicians

Practice addresses (Care Compare)

110 Brentwood Ctr LN N
Wilson, NC 27896-1710
Phone (252) 991-5382

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5023641NCMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Corprew Wellness & Diabetes Education PLLC Current Accepting new patients
Wilson Community Family Practice CurrentSince Jan 12, 2026 Accepting new patients

Locations

110 Brentwood Center Ln N
Wilson, NC 27896
Phone (252) 291-8600

114 Brentwood Center Ln N
Wilson, NC 27896
Phone (252) 237-1610

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJGACD/Endpoint/CJGACD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1093679730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139B N CENTER ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275303620",
            "telephone_number": "984-422-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139B N CENTER ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275303620",
            "telephone_number": "984-422-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORPREW",
        "first_name": "TAMIKA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-15",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5023641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.