Russell Raymond Wilford Jr., M.D.

Key facts

NPI

1114213162

Entity type

Individual (NPI type 1)

Primary specialty

Internal Medicine Physician 207R00000X

License

2014-01345 (NC)

Practice address

137 Medical LN
Pollocksville, NC 28573-8200

Phone

(252) 633-1010

Fax

(252) 224-3071

NPI assigned

Jun 28, 2011

Sex

Male

Sole proprietor

No

Organizations & group practices 9

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.

• North Carolina MG, LLC Hospitalist Physician · Raleigh, NC · NPI 1215741640
  Medicare reassignment Care Compare group NPD HOSPITALIST · NC
• Carolinaeast Physicians Cardiovascular Disease Physician · New Bern, NC · NPI 1104066794
  Medicare reassignment NPD INTERNAL MEDICINE · NC
• Cogent Healthcare of North Carolina, PC Internal Medicine Physician · Rocky Mount, NC · NPI 1548207483
  Medicare reassignment NPD INTERNAL MEDICINE · NC
• Hospitalist Medicine Physicians of North Carolina PLLC Internal Medicine Physician · Greensboro, NC · NPI 1164724902
  Medicare reassignment NPD INTERNAL MEDICINE · NC
• Sound Physicians of North Carolina, PLLC Hospitalist Physician · Elizabeth City, NC · NPI 1346661493
  Medicare reassignment NPD INTERNAL MEDICINE · NC
• Vidant Medical Group LLC Multi-Specialty Clinic/Center · Greenville, NC · NPI 1477648731
  Medicare reassignment NPD NC
• Carolinaeast Physicians Internal Medicine Physician · Pollocksville, NC · NPI 1255632006
  NPD INTERNAL MEDICINE
• Carolinaeast Physicians Obstetrics & Gynecology Physician · New Bern, NC · NPI 1619868981
  NPD
• Rex Hospital Inc Cardiovascular Disease Physician · Raleigh, NC · NPI 1972939643
  NPD (past)

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Johnston Health Services Corporation General Acute Care Hospital · Smithfield, NC · NPI 1619911104
  Care Compare affiliation Hospital
• Johnston Health Services Corporation Home Health Agency · Smithfield, NC · NPI 1902845928
  Care Compare affiliation Home health agency
• Rex Hospital Inc. General Acute Care Hospital · Raleigh, NC · NPI 1497797088
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Internal Medicine
Also: Hospitalist

Education

Brody School of Medicine at East Carolina University, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Carolina MG LLC (723 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Unc Health Johnston Home Care and Hospice Home health agency · Smithfield, NC · CCN 347105
• Johnston Health Hospital · Smithfield, NC · CCN 340090
• Rex Hospital Hospital · Raleigh, NC · CCN 340114

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rwilford213517@direct.unc.nchie.net

Specialties & licenses

Addresses

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 22, 2025.

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1114213162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "POLLOCKSVILLE",
            "state": "NC",
            "postal_code": "285730068",
            "telephone_number": "252-633-1010",
            "fax_number": "252-224-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 MEDICAL LN",
            "city": "POLLOCKSVILLE",
            "state": "NC",
            "postal_code": "285738200",
            "telephone_number": "252-633-1010",
            "fax_number": "252-224-3071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 N Brightleaf Blvd",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "NC",
            "postal_code": "275774407",
            "country_code": "US",
            "telephone_number": "919-938-7189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILFORD",
        "first_name": "RUSSELL",
        "middle_name": "RAYMOND",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2014-01345",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2014-01345",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rwilford213517@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "509 N Brightleaf Blvd",
            "city": "Smithfield",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275774407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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All providers in Pollocksville, NC · Internal Medicine Physician in North Carolina