NPIMap

Organization Active NPI

Goldsboro Emergency Medical Specialists, Inc.

  • Emergency Medicine Physician
  • Goldsboro, NC
National Provider Identifier
1164418232
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
GOLDSBORO EMERGENCY MEDICAL SPECIALISTS, INC.
Practice address
2700 Wayne Memorial Drive
Goldsboro, NC 27534
Phone
(919) 731-6060
Fax
(919) 587-2988
NPI assigned
Sep 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Authorized official

Name
Bryon Matthew Geer, D.O.NPI 1942426507
Title
President
Phone
(919) 580-0004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

2700 Wayne Memorial Drive
Goldsboro, NC 27534

Mailing address

PO Box K
Goldsboro, NC 27533
Phone (919) 580-0004

Other practice location 1

2700 Wayne Memorial Dr
Goldsboro, NC 27534-9494
Phone (919) 731-6060

Other identifiers 3

IdentifierTypeStateIssuer
790149GMedicaidNC
5922111MedicaidNC
0149GOtherBLUE CROSS BLUE SHIELD

Other names 1

  • CORRECT LEGAL NAME Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031229000879 NC Part B Supplier - Clinic/Group Practice 5294633293 Receives reassigned benefits from 36 practitioners
Practice locations: Goldsboro, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 45

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1164418232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX K",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "27533",
            "telephone_number": "919-580-0004",
            "fax_number": "919-580-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 WAYNE MEMORIAL DRIVE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "27534",
            "telephone_number": "919-731-6060",
            "fax_number": "919-587-2988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Wayne Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Goldsboro",
            "state": "NC",
            "postal_code": "275349494",
            "country_code": "US",
            "telephone_number": "919-731-6060",
            "fax_number": "919-731-6354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOLDSBORO EMERGENCY MEDICAL SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "GEER",
        "authorized_official_first_name": "BRYON",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-580-0004",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790149G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5922111",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0149G",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORRECT LEGAL NAME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.