NPIMap

Organization Active NPI

DLP Wilson Medical Center LLC

  • Psychiatric Hospital Unit
  • Wilson, NC
National Provider Identifier
1386196459
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
DLP WILSON MEDICAL CENTER LLC
Practice address
1705 Tarboro St SW
Wilson, NC 27893-3428
Phone
(252) 399-8040
NPI assigned
Oct 25, 2016
Organization subpart
Yes
Parent organization
DLP WILSON MEDICAL CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 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
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

1705 Tarboro St SW
Wilson, NC 27893-3428

Mailing address

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

Other names 1

  • Wilson Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wmc@direct.wilsonmc.net

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140501000129 NC Part A Provider - Hospital 0547493397 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wilson, NC; Bailey, NC
O20190131001804 NC Part A Provider - Hospital 0547493397 Practice locations: Wilson, NC

Hospital certification: CCN 340126

Legal name
DLP WILSON MEDICAL CENTER, LLC
Doing business as
WILSON MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 22, 2010
Beds
317
Ownership / control type
Private (not for profit)
Organization structure
LLCProprietary
Incorporated
Nov 19, 2013 in DE
Enrollment address
1705 Tarboro St SW
Wilson, NC 27893-3428
Other Hospital Practice Location
Hospital subgroups
General, Acute care

Hospital certification: CCN 34S126

Legal name
DLP WILSON MEDICAL CENTER, LLC
Doing business as
WILSON MEDICAL CENTER
Organization structure
LLCProprietary
Incorporated
Nov 19, 2013 in DE
Enrollment address
1705 Tarboro St SW
Wilson, NC 27893-3428
Hospital Psychiatric Unit
Hospital subgroups
General, Acute care, Psychiatric unit

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

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Wilson Medical CenterCCN 340126
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
DLP Wilson Medical Center LLC

Member organizations 5

Organizations listed as members of this organization in the National Provider Directory.

Locations

1703 Medical Park Dr W
Wilson, NC 27893
Phone (252) 399-7400

Ownership & related parties

All disclosed owners & managing parties 24

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 Direct Ownership Interest Nov 19, 2013
5% Or Greater Indirect Ownership Interest Nov 19, 2013 77.6%
Christopher J Munton Individual Corporate OfficerCeo - Wilson Medical Center May 1, 2023
W-2 Managing Employee May 1, 2023
Wilson Medical Center, Inc. Organization, Wilson, NC Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Aug 28, 2014 20%
5% Or Greater Indirect Ownership Interest Aug 27, 2014 20%
Michelle Scott Watson Individual OtherGovernor Nov 16, 2018
Paula T Benson Individual OtherGovernor Jan 1, 2018
DSB Acquisition LLC Organization, New York, NY LLC, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Nov 16, 2018 77.6%
Lifepoint Hospitals Holdings LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Nov 19, 2013 77.6%
DLP Wilson Holding Company LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Nov 19, 2013 100%
Elmer B Polite Individual Corporate OfficerPresident Jun 9, 2023
OtherGovernor Dec 14, 2020
OtherMember of Board of Governors Feb 3, 2022
DLP Healthcare LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 19, 2013 80%
Christopher K Hill Individual OtherGovernor Jan 1, 2016
Historic Lifepoint Hospitals, LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 19, 2013 77.6%
Lifepoint Health Inc Organization, Brentwood, TN Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 16, 2018 77.6%
Vance T Forbes Individual OtherGovernor May 4, 2017
Arthur H Hanson Individual OtherMember of Board of Governors Jan 4, 2021
Donna Peter Individual OtherGovernor Apr 21, 2023
Marcus B Poppell Individual Corporate OfficerSenior Vice President Mar 1, 2014
OtherChain Home Office Administrator Mar 1, 2014
Corporate OfficerVice President Nov 16, 2018
Charlotte E Lawrence Individual Corporate OfficerSecretary Feb 3, 2022
DLP Partner LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 19, 2013 77.6%
Teresa Williams Individual OtherGovernor May 31, 2024
Kurt Schmidt Individual OtherGovernor Dec 31, 2022
John Michael Grooms Individual Corporate OfficerSenior Vice President and Treasurer Nov 1, 2016
Corporate OfficerSenior Vice President & Treasurer Nov 16, 2018
Christopher J Monte Individual Corporate OfficerVice President Mar 1, 2014
Corporate OfficerVice President Nov 16, 2018
Legacy Lifepoint Health LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 19, 2013 77.6%

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wilson New Hope Primary CareWilson, NC, CCN 348983 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2023
Bailey Primary CareBailey, NC, CCN 348973 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2023
Wilson Primary CareWilson, NC, CCN 348984 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2023
Wilson Family CareWilson, NC, CCN 348982 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2023

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 202

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

  • DLP Central Carolina Medical Center LLC
    • General Acute Care Hospital
    • Sanford, NC
    • NPI 1902836943

    DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • DLP Central Carolina Medical Group LLC
    • Rural Health Clinic/Center
    • Sanford, NC
    • NPI 1003508367

    DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • DLP Central Carolina Medical Group LLC
    • Rural Health Clinic/Center
    • Sanford, NC
    • NPI 1073204715

    DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • DLP Central Carolina Medical Group LLC
    • Rural Health Clinic/Center
    • Sanford, NC
    • NPI 1174208813

    DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • DLP Central Carolina Medical Group LLC
    • Rural Health Clinic/Center
    • Sanford, NC
    • NPI 1518642255

    DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • DLP Central Carolina Medical Group LLC
    • Rural Health Clinic/Center
    • Broadway, NC
    • NPI 1578254215

    DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • DLP Central Carolina Medical Group LLC
    • Rural Health Clinic/Center
    • Sanford, NC
    • NPI 1790568046

    DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • DLP Frye Medical Group LLC
    • Rural Health Clinic/Center
    • Lincolnton, NC
    • NPI 1154005965

    DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • DLP Frye Regional Medical Center LLC
    • Rehabilitation Hospital Unit
    • Hickory, NC
    • NPI 1275557654

    DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • DLP Frye Regional Medical Center LLC
    • Psychiatric Hospital Unit
    • Hickory, NC
    • NPI 1659393932

    DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • DLP Frye Regional Medical Center LLC
    • General Acute Care Hospital
    • Hickory, NC
    • NPI 1801823349

    DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • DLP Harris Regional Hospital LLC
    • General Acute Care Hospital
    • Sylva, NC
    • NPI 1407962046

    DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
View all 202

Practitioners & affiliated clinicians

Practitioners 5

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

Affiliated clinicians 278

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 278

NPI Registry JSON

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1386196459",
    "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": "615-920-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 TARBORO ST SW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933428",
            "telephone_number": "252-399-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLP WILSON MEDICAL CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DLP WILSON MEDICAL CENTER LLC",
        "enumeration_date": "2016-10-25",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "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": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wmc@direct.wilsonmc.net",
            "affiliation": "N",
            "address_1": "1705 Tarboro St SW",
            "city": "Wilson",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278933428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Wilson Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wilson Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.