Medstat of Goldsboro Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25354 Issued in NC

Legal business name

MEDSTAT OF GOLDSBORO INC.

Practice address

1707 Wayne Memorial Dr
Goldsboro, NC 27534-2239

Phone

(919) 736-9699

Fax

(919) 734-0501

NPI assigned

Oct 10, 2006

Last updated

Mar 30, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Vicky B Le, BS

Title

Account Manager

Phone

(919) 736-9699

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Solange Trinh Le, MD

  • Family Medicine Physician
  • Goldsboro, NC
  • NPI 1760568919
  Medicare reassignment NPD
• Cailey Anne Solomon, PA-C

  • Physician Assistant
  • Goldsboro, NC
  • NPI 1609464429

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1134217680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 WAYNE MEMORIAL DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275342239",
            "telephone_number": "919-736-9699",
            "fax_number": "919-734-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 WAYNE MEMORIAL DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275342239",
            "telephone_number": "919-736-9699",
            "fax_number": "919-734-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAT OF GOLDSBORO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "VICKY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "919-736-9699",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "25354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Care Inc
• Medical Care Inc
• Medical Care Sleep Lab (Medical care)
• Veeresh Anand Medlery, MD
• Jaiden Medlin, LCSW-A
• Brittney Meek
• Jessica McCullen Meisenhelder, NP
• Cindy Jasmine Melgar, CMA
• Laura Mello, PHARMD
• Mels Helping Hands, LLC

• Family Medicine Physician in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.