Goshen Medical Center Incorporated
Organization Active NPI Federally Qualified Health Center (FQHC) · Faison, NC
NPI 1154378933 · NPPES record last updated Sep 4, 2026
Key facts
- NPI
- 1154378933
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- GOSHEN MEDICAL CENTER INCORPORATED
- Practice address
- 444 SW Center St
Faison, NC 28341-8820 - Phone
- (910) 267-0421
- Fax
- (910) 267-0441
- NPI assigned
- May 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Gregory M Bounds
- Title
- Ceo
- Phone
- (910) 267-1942
Other NPIs on the same Medicare enrollment 44
Related certifications (CCN) 1
Practitioners 204
-
Kayla Noel Andrews, MSN, FNP-C
-
Bryan Franklin Armstrong, P-LCSW, P-LCAS
-
Jamie Jones Avery, FNP-C
-
Brittany Bailey, FNP
-
Sarah Baker, CPNP
-
Peggy S Barnhill, MD
-
Carolyn Danielle Battle, FNP-BC
-
John D. Beaver, NP
-
Candace H Beddard, AGNP-C
-
Viola Elizabeth Blackwell, FNP-C
-
Galina Bogdanova, MPA-C
-
Linda Rita Boggs, PA-C
-
Angel Bowden, AGNP
-
Raina Briggs, LCSW
-
Carie M Brown, FNP-C
-
Sheila Love Brown, AGNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in NC
Federally qualified health center certification: CCN 341914
- Legal name
- GOSHEN MEDICAL CENTER INCORPORATED
- Doing business as
- GOSHEN MEDICAL CENTER WARSAW WELLNESS
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Dec 26, 2006
- Last certification
- Dec 26, 2006
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- May 29, 1979 in NC
- Enrollment address
- 113S Pine St
Warsaw, NC 28398-1924
Federally qualified health center certification: CCN 341839
- Legal name
- GOSHEN MEDICAL CENTER INCORPORATED
- Doing business as
- GOSHEN MEDICAL CENTER-FAISON
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jan 1, 1993
- Last certification
- Jan 1, 1993
- Ownership / control type
- For profit – partnership
- Organization structure
- Corporation · Non-profit
- Incorporated
- May 29, 1979 in NC
- Enrollment address
- 444Swcenter St
Faison, NC 28341-8820
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Rhonda Barwick |
Corporate Officer |
Feb 1, 2017 | |
| W-2 Managing Employee |
Feb 1, 2017 | ||
| Operational/Managerial Control |
Feb 1, 2017 | ||
| Chester Aycock |
Corporate Director |
Feb 1, 2008 | |
| Corporate Director |
Feb 1, 2008 | 100% | |
| Tanty Freeman |
Corporate Director |
Feb 1, 2008 | |
| Corporate Director |
Feb 1, 2008 | 100% | |
| Patricia a Davis |
Corporate Director |
Feb 1, 2008 | |
| Corporate Director |
Feb 1, 2008 | 100% | |
| Gregory M Bounds |
Corporate Officer |
Jan 2, 2004 | |
| W-2 Managing Employee |
Jul 17, 2001 | 100% | |
| Corporate Officer |
Jul 17, 2001 | 100% | |
| Charlotte W Graham |
Corporate Director |
Feb 1, 2008 | |
| Corporate Director |
Feb 1, 2008 | 100% | |
| Ruth M Diaz |
Corporate Director |
Sep 16, 2014 | |
| Diane H Graham |
Corporate Officer |
Dec 27, 2007 | |
| Corporate Director |
Dec 27, 2007 | ||
| Operational/Managerial Control |
Dec 27, 2007 | ||
| Operational/Managerial Control |
Dec 27, 2007 | 100% | |
| Betty S Rose |
Corporate Director |
Jan 2, 2011 | |
| Corporate Director |
Jan 2, 2011 | 100% | |
| James Roa |
Corporate Director |
Feb 1, 2008 | |
| Corporate Director |
Feb 1, 2008 | 100% | |
| Mattie P Atkinson |
Corporate Director |
Feb 1, 2008 | |
| Corporate Director |
Feb 1, 2008 | 100% |
All facility ownership & control disclosures 7
| Facility | Type | Role | Since |
|---|---|---|---|
| Goshen Medical Center-Whiteville Mobile Unit |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2012 |
| Goshen Medical Center-Cape Fear |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2014 |
| Goshen Medical Center-New Bern |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jun 25, 2014 |
| Goshen Medical Center-Fairview |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2014 |
| Goshen Medical Center - Dunn |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Dec 4, 2017 |
| Goshen Medical Center - New Bern |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Aug 2, 2025 |
| Goshen Medical Center - Wilmington |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | May 29, 1979 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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… |
| O20061122000229 | NC | Part a Provider - Federally Qualified Health Center (FQHC) | 3173434479 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Warsaw, NC |
| O20100616000136 | NC | Part a Provider - Federally Qualified Health Center (FQHC) | 3173434479 | Practice locations: Faison, NC |
National Provider Directory
Locations
1624 White Oak Church Rd
#100
Apex, NC 27523
Phone (984) 229-9005
213 9th St
Bolton, NC 28423
Phone (910) 212-6918
906 N US 421 Hwy
Ste 116
Clinton, NC 28328
801 Tilghman Dr
Ste 202
Dunn, NC 28334
400 Mercer Mill Rd
Elizabethtown, NC 28337
Phone (910) 862-5300
444 SW Center St
Faison, NC 28341
Phone (910) 267-0421
460 SW Center St
Faison, NC 28341
Phone (910) 267-0951
3613 Cape Center Dr
Fayetteville, NC 28304
Phone (910) 354-1720
106 Jefferson St
Ste 12
Hamlet, NC 28345
261 Sloop Point Loop Rd
Hampstead, NC 28443
Phone (910) 285-2330
102 Main St
Kenansville, NC 28349
Phone (910) 296-1087
102 Main St
#1
Kenansville, NC 28349
325 NC Highway 55 W
Ste Amt
Mount Olive, NC 28365
130 N Center St
Mount Olive, NC 28365
Phone (919) 658-2505
102 Southern Ave
Ste 1
Raeford, NC 28376
360 E Charity Rd
Rose Hill, NC 28458
Phone (910) 289-3086
103 Cotton Creek Rd
Star, NC 27356
Phone (910) 226-4970
Interoperability endpoints
- cweisenberger@goshenmedical.cloudcraftdirect.com
- krhodes@goshenmedical.cloudcraftdirect.com
- hwatkins@goshenmedical.cloudcraftdirect.com
- oayre@goshenmedical.cloudcraftdirect.com
- anjapa@goshenmedical.cloudcraftdirect.com
- awhitman@goshenmedical.cloudcraftdirect.com
- ksican@goshenmedical.cloudcraftdirect.com
- tkirtley@goshenmedical.cloudcraftdirect.com
- hziebol@goshenmedical.cloudcraftdirect.com
- arich@goshenmedical.cloudcraftdirect.com
- hmistry@goshenmedical.cloudcraftdirect.com
- rduncan@goshenmedical.cloudcraftdirect.com
- kallen@goshenmedical.cloudcraftdirect.com
- lmcpherson@goshenmedical.cloudcraftdirect.com
- ekleinfelder@goshenmedical.cloudcraftdirect.com
- bquinn@goshenmedical.cloudcraftdirect.com
- sbenson@goshenmedical.cloudcraftdirect.com
- lynnd@goshenmedical.cloudcraftdirect.com
- cfresco@goshenmedical.cloudcraftdirect.com
- dpace@goshenmedical.cloudcraftdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes | ||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
444 SW Center St
Faison, NC 28341-8820
Mailing address
PO Box 187
Faison, NC 28341-0187
Phone (910) 267-0421
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 344558A | Medicaid | NC |
Other providers in Faison, NC
- Michael T Futrell
- Dara L. Garces
- John Louis Gentri
- Goshen Medical Center Incorporated
- Goshen Medical Center Incorporated
- Goshen Medical Center Incorporated
- Goshen Medical Center Incorporated
- Karen Lynn Halter
- Kristi Ann Kerr
- Aixa Nieves Kimes
All providers in Faison, NC · Federally Qualified Health Center (FQHC) in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.