NPIMap

Organization Active NPI

Goshen Medical Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Faison, NC
National Provider Identifier
1154378933
Registry record updated Sep 4, 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
Practice address
444 SW Center St
Faison, NC 28341-8820
Phone
(910) 267-0421
Fax
(910) 267-0441
NPI assigned
May 27, 2006
Last updated
Sep 4, 2026By the provider in NPPES
Organization subpart
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

Authorized official

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
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 1

IdentifierTypeStateIssuer
344558AMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC3 enrollments

Enrollment records 3

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…
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

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1154378933. Details of each certification follow.

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
CorporationNon-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
CorporationNon-profit
Incorporated
May 29, 1979 in NC
Enrollment address
444Swcenter St
Faison, NC 28341-8820

Facilities connected through Provider of Services related, parent or unit certification numbers.

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

Locations

1624 White Oak Church Rd
#100
Apex, NC 27523
Phone (984) 229-9005

906 N US 421 Hwy
Ste 116
Clinton, NC 28328

801 Tilghman Dr
Dunn, NC 28334
Phone (910) 766-3313

801 Tilghman Dr
Ste 202
Dunn, NC 28334

2701 Medical Office Pl
Goldsboro, NC 27534
Phone (919) 739-8680

106 Jefferson St
Ste 12
Hamlet, NC 28345

102 Main St
#1
Kenansville, NC 28349

4370 Arendell St
Ste A
Morehead City, NC 28557
Phone (252) 222-0204

325 NC Highway 55 W
Ste Amt
Mount Olive, NC 28365

4114 M L King Jr Blvd
New Bern, NC 28562
Phone (252) 772-9995

102 Southern Ave
Ste 1
Raeford, NC 28376

8210 Richlands Hwy
Richlands, NC 28574
Phone (910) 324-7328

921 S Long Dr
Ste 104
Rockingham, NC 28379
Phone (910) 417-3445

Interoperability endpoints

  • Direct secure messaging: 28328@goshenmedical.cloudcraftdirect.com
  • Direct secure messaging: abanks@goshenmedical.cloudcraftdirect.com
  • Direct secure messaging: abryant@goshenmedical.cloudcraftdirect.com
  • Direct secure messaging: ahawley@goshenmedical.cloudcraftdirect.com
  • Direct secure messaging: ahines@goshenmedical.cloudcraftdirect.com
  • Direct secure messaging: akimes@goshenmedical.cloudcraftdirect.com
  • Direct secure messaging: alewis@goshenmedical.cloudcraftdirect.com
  • Direct secure messaging: amancheno@goshenmedical.cloudcraftdirect.com
  • Direct secure messaging: amcclenahan@goshenmedical.cloudcraftdirect.com
  • Direct secure messaging: anjapa@goshenmedical.cloudcraftdirect.com
  • Direct secure messaging: apetersen@goshenmedical.cloudcraftdirect.com
  • Direct secure messaging: arich@goshenmedical.cloudcraftdirect.com
  • Direct secure messaging: atorres@goshenmedical.cloudcraftdirect.com
  • Direct secure messaging: atse@goshenmedical.cloudcraftdirect.com
  • Direct secure messaging: awhitman@goshenmedical.cloudcraftdirect.com
  • Direct secure messaging: awinn@goshenmedical.cloudcraftdirect.com
  • Direct secure messaging: barmstrong@goshenmedical.cloudcraftdirect.com
  • Direct secure messaging: bbailey@goshenmedical.cloudcraftdirect.com
  • Direct secure messaging: bblackburn@goshenmedical.cloudcraftdirect.com
  • Direct secure messaging: bcanady@goshenmedical.cloudcraftdirect.com

Ownership & related parties

All disclosed owners & managing parties 11

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 OfficerDirector of Operations Feb 1, 2017
W-2 Managing EmployeeDirector of Operations Feb 1, 2017
Operational/Managerial ControlDirector of Operations Feb 1, 2017
Chester Aycock Individual Corporate DirectorDirector Feb 1, 2008
Corporate DirectorBoard Member Feb 1, 2008 100%
Tanty Freeman Individual Corporate DirectorDirector Feb 1, 2008
Corporate DirectorBoard Member Feb 1, 2008 100%
Patricia a Davis Individual Corporate DirectorDirector Feb 1, 2008
Corporate DirectorBoard Member Feb 1, 2008 100%
Gregory M Bounds Individual Corporate OfficerCeo Jan 2, 2004
W-2 Managing EmployeeCeo Jul 17, 2001 100%
Corporate OfficerCeo Jul 17, 2001 100%
Charlotte W Graham Individual Corporate DirectorDirector Feb 1, 2008
Corporate DirectorBoard Member Feb 1, 2008 100%
Ruth M Diaz Individual Corporate DirectorDirector Sep 16, 2014
Diane H Graham Individual Corporate OfficerOfficer Dec 27, 2007
Corporate DirectorDirector Dec 27, 2007
Operational/Managerial ControlOfficer Dec 27, 2007
Operational/Managerial ControlChief Accounting Officer Dec 27, 2007 100%
Betty S Rose Individual Corporate DirectorDirector Jan 2, 2011
Corporate DirectorBoard Member Jan 2, 2011 100%
James Roa Individual Corporate DirectorDirector Feb 1, 2008
Corporate DirectorBoard Member Feb 1, 2008 100%
Mattie P Atkinson Individual Corporate DirectorDirector Feb 1, 2008
Corporate DirectorBoard Member Feb 1, 2008 100%

All facility ownership & control disclosures 7

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
Goshen Medical Center - WilmingtonWilmington, NC, CCN B61090 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 29, 1979

Practitioners & affiliated clinicians

Practitioners 212

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.

View all 212

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1154378933",
    "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": "910-267-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 SW CENTER ST",
            "city": "FAISON",
            "state": "NC",
            "postal_code": "283418820",
            "telephone_number": "910-267-0421",
            "fax_number": "910-267-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSHEN MEDICAL CENTER INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "BOUNDS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-267-1942"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344558A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Faison, NC

Sources for this page

Verify at the official NPI Registry.