Organization Active NPI

DLP Wilson Physician Practices LLC

Doing business as Wilson New Hope Primary Care

  • Rural Health Clinic/Center
  • Wilson, NC
National Provider Identifier
1346927423
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
DLP WILSON PHYSICIAN PRACTICES LLC
Doing business as
Wilson New Hope Primary Care
Practice address
2508 Ward Blvd
Wilson, NC 27893-1600
Phone
(252) 243-0053
Fax
(252) 243-0054
NPI assigned
Jun 30, 2023
Last updated
Sep 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Authorized official

Name
Charlotte Lawrence
Title
Secretary
Phone
(615) 920-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

2508 Ward Blvd
Wilson, NC 27893-1600

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7000

Other names 1

  • Wilson New Hope Primary Care Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140502000396 NC Part B Supplier - Clinic/Group Practice 2567695307 Receives reassigned benefits from 84 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Stantonsburg, NC; Wilson, NC; Bailey, NC
O20230713001460 NC Part A Provider - Rural Health Clinic 2567695307 Practice locations: Wilson, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346927423. Details of each certification follow.

Rural health clinic certification: CCN 348983

Legal name
DLP WILSON PHYSICIAN PRACTICES LLC
Doing business as
WILSON NEW HOPE PRIMARY CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 28, 2023
Last certification
Dec 28, 2023
Ownership / control type
1B
Organization structure
LLCProprietary
Incorporated
Nov 19, 2013 in DE
Enrollment address
2508 Ward Blvd
Wilson, NC 27893-1600

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2012562DLP Wilson Physicians Practices, LLC2508 Ward Boulevard, Wilson, NC 27893Certificate of waiverMay 16, 2028

National Provider Directory

National Provider Directory
Tax ID family
DLP Wilson Physician Practices LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Member of 1

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

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Lifepoint Holdings 2 LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2023 77%
DLP Wilson Medical Center, LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2023 100%
Pamela Kane Individual Corporate OfficerVice President Jul 1, 2023
Wilson Medical Center, Inc. Organization, Wilson, NC Non-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2023 20%
DSB Acquisition LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2023 77%
Laura C Hinson Individual Corporate OfficerChief Financial Officer Mar 12, 2025
Lifepoint Hospitals Holdings LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2023 77%
DLP Wilson Holding Company LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2023 100%
DLP Healthcare LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2023 80%
Historic Lifepoint Hospitals, LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2023 77%
Lifepoint Health Inc Organization, Brentwood, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2023 77%
Charlotte E Lawrence Individual Corporate OfficerSecretary Jul 1, 2023
DLP Partner LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2023 77%
Klaus Michael Boel Individual Corporate OfficerPresident Aug 19, 2024
W-2 Managing Employee Aug 19, 2024
John Michael Grooms Individual Corporate OfficerSenior Vice President and Treasurer Jul 1, 2023
Christopher J Monte Individual Corporate OfficerVice President Jul 1, 2023
Legacy Lifepoint Health LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2023 77%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 202

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

View all 202

NPI Registry JSON

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1346927423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "615-920-7000",
            "fax_number": "615-920-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 WARD BLVD",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278931600",
            "telephone_number": "252-243-0053",
            "fax_number": "252-243-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLP WILSON PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilson New Hope Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wilson New Hope Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.