NPIMap

Organization Active NPI

Goshen Medical Center Incorporated

Doing business as Goshen Medical Center - Wilmington

  • Federally Qualified Health Center (FQHC)
  • Wilmington, NC
National Provider Identifier
1144170283
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
GOSHEN MEDICAL CENTER INCORPORATED
Doing business as
Goshen Medical Center - Wilmington
Practice address
1444 S 17TH St
Wilmington, NC 28401-6436
Phone
(910) 793-4311
Fax
(910) 973-4322
NPI assigned
Jan 29, 2026
Last updated
Jun 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Authorized official

Name
Gregory Bounds
Title
Ceo
Phone
(910) 267-1942

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Hospitalist Physician 208M00000X

Addresses

Primary practice location

1444 S 17TH St
Wilmington, NC 28401-6436

Mailing address

PO Box 187
Faison, NC 28341-0187
Phone (910) 267-0421

Other names 1

  • Goshen Medical Center - Wilmington Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040102000726 NC Part B Supplier - Clinic/Group Practice 3173434479 Receives reassigned benefits from 224 practitioners
45 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kenansville, NC; Morehead City, NC; Mount Olive, NC; New Bern, NC; Rockingham, NC; Rose Hill, NC; Sanford, NC; Southport, NC…
O20260429001135 NC Part A Provider - Federally Qualified Health Center (FQHC) 3173434479 Practice locations: Wilmington, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144170283. Details of each certification follow.

Federally qualified health center certification: CCN B61090

Legal name
GOSHEN MEDICAL CENTER INCORPORATED
Doing business as
GOSHEN MEDICAL CENTER - WILMINGTON
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 29, 2026
Last certification
Apr 29, 2026
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
1444 S 17TH St
Wilmington, NC 28401-6436

Other NPIs on the same Medicare enrollment 44

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 44

National Provider Directory

National Provider Directory
Tax ID family
Goshen Medical Ctr42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1444 S 17th St
Wilmington, NC 28401
Phone (910) 793-4311

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rhonda Barwick Individual Corporate DirectorDeputy Ceo Sep 27, 2001
W-2 Managing Employee Sep 27, 2001
Chester Aycock Individual Corporate DirectorDirector Feb 1, 2008
W-2 Managing Employee Feb 1, 2008
Tanty Freeman Individual Corporate DirectorDirector Feb 1, 2008
W-2 Managing Employee Feb 1, 2008
Patricia a Davis Individual Corporate DirectorDirector Feb 1, 2008
W-2 Managing Employee Feb 1, 2008
Gregory M Bounds Individual Corporate DirectorCeo Jun 8, 2010 100%
W-2 Managing Employee Jun 8, 2010 100%
Goshen Medical Center Incorporated Organization, Faison, NC Corporation 5% Or Greater Direct Ownership Interest May 29, 1979 100%
Charlotte W Graham Individual Corporate DirectorDirector Feb 1, 2008
W-2 Managing Employee Feb 1, 2008
Betty S Rose Individual Corporate DirectorDirector Jan 2, 2011
W-2 Managing Employee Jan 2, 2011
James Roa Individual Corporate DirectorDirector Feb 1, 2008
W-2 Managing Employee Feb 1, 2008
Mattie P Atkinson Individual Corporate DirectorDirector Feb 1, 2008
W-2 Managing Employee Feb 1, 2008

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Goshen Medical Center-Whiteville Mobile UnitWhiteville, NC, CCN 341007 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2012
Goshen Medical Center-Cape FearFayetteville, NC, CCN 341012 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 1, 2014
Goshen Medical Center-New BernNew Bern, NC, CCN 341022 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jun 25, 2014
Goshen Medical Center-FairviewClinton, NC, CCN 341019 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2014
Goshen Medical Center - DunnDunn, NC, CCN 341083 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Dec 4, 2017
Goshen Medical Center - New BernNew Bern, NC, CCN B61075 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Aug 2, 2025

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1769644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1144170283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 187",
            "city": "FAISON",
            "state": "NC",
            "postal_code": "283410187",
            "telephone_number": "910-267-0421",
            "fax_number": "855-705-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016436",
            "telephone_number": "910-793-4311",
            "fax_number": "910-973-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSHEN MEDICAL CENTER INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-29",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "BOUNDS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-267-1942"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goshen Medical Center - Wilmington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.