Teresa Lynn Wolf, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

103636 Issued in NC

Practice address

104 Adair Dr
Goldsboro, NC 27530-4516

Phone

(919) 648-4435

Fax

(910) 267-8932

NPI assigned

Feb 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Goldsboro Emergency Medical Specialists, Inc.

  • Emergency Medicine Physician
  • Goldsboro, NC
  • NPI 1164418232
  NPD (past)

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1255303624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 ADAIR DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275304516",
            "telephone_number": "919-648-4435",
            "fax_number": "910-267-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 ADAIR DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275304516",
            "telephone_number": "919-648-4435",
            "fax_number": "910-267-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "TERESA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "103636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Winn
• Crystal Allen Winstead, CRNA
• Benjamin Anthony Wise, DO
• Brittany Lashon Witherspoon, LCSW-A
• Kevin Jay Wolf, DPM
• Virginia Weber Wolf, RD, LDN
• Dana Womac
• Richard Wong, MD
• Jaclyn Farrior Woodall, PT, DPT
• Woodard Care, Inc.

• Medical Physician Assistant in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.