NPIMap

Organization Active NPI

Goldsboro CTC

  • Informatics Clinical Nurse Specialist
  • Goldsboro, NC
National Provider Identifier
1376239590
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Informatics Clinical Nurse SpecialistTaxonomy code 364SI0800X
Legal business name
GOLDSBORO CTC
Practice address
1700 E Ash St Ste 201
Goldsboro, NC 27530-4097
Phone
(919) 583-9329
NPI assigned
Apr 12, 2023
Last updated
Apr 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Authorized official

Name
Dr. Louis Gagliano, MD
Title
Medical Director
Phone
(919) 583-9329

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Informatics Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SI0800X Primary

Addresses

Primary practice location

1700 E Ash St Ste 201
Goldsboro, NC 27530-4097

Mailing address

1510 Rose St
Goldsboro, NC 27530-3938
Phone (919) 394-2093

Other names 1

  • Acadia Healthcare Other name

National Provider Directory

National Provider Directory

Locations

1700 E Ash St
Ste 201
Goldsboro, NC 27530
Phone (919) 583-9329

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1376239590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 ROSE ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275303938",
            "telephone_number": "919-394-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E ASH ST STE 201",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275304097",
            "telephone_number": "919-583-9329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDSBORO CTC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "GAGLIANO",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "919-583-9329",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "364SI0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Informatics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acadia Healthcare",
            "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 Apr 12, 2023; 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.