Individual provider Active NPI

Clement Leon McCaskill, D.O.

  • Family Medicine Physician
  • Goldsboro, NC
National Provider Identifier
1518998889
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28928 Issued in NC
Practice address
1506 Wayne Memorial Dr
Suite D
Goldsboro, NC 27534-2202
Phone
(919) 736-0767
Fax
(919) 580-0148
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 28928 NC Primary

Addresses

Primary practice location

1506 Wayne Memorial Dr
Suite D
Goldsboro, NC 27534-2202

Mailing address

PO Box 1717
Goldsboro, NC 27533-1717
Phone (919) 587-4081

Other identifiers 2

IdentifierTypeStateIssuer
P01339944OtherNCRAILROAD MEDICARE
8955739MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmccaskill223835@direct.unc.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031211000171 NC Practitioner - Family Practice 6608772421 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians
Broad River RehabilitationGroup PAC ID 3375801350, 210 clinicians

Practice addresses (Care Compare)

1506 Wayne Memorial Dr
Suite D
Goldsboro, NC 27534-2202
Phone (919) 736-0767

9120 Willow Ridge Rd
Charlotte, NC 28210-8313
Phone 82877452220027

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
28928NCMDAddiction (Substance Use Disorder) Counselor
28290NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network LLC Family Medicine CurrentSince Aug 1, 2017 Accepting new patients
Wayne Memorial Hospital Inc CurrentSince Oct 1, 1992 Accepting new patients
Wayne Memorial Hospital Inc CurrentSince Oct 1, 1992 Accepting new patients
Unc Physicians Network LLC Family Medicine Current Accepting new patients

Locations

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

1506 Wayne Memorial Dr
Ste D
Goldsboro, NC 27534
Phone (919) 734-8242

625 Country Day Rd
Goldsboro, NC 27530
Phone (919) 731-4048

208 Cox Blvd
Ste 101
Goldsboro, NC 27534
Phone (919) 731-6807

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

100 Airport Rd
Kinston, NC 28501
Phone (252) 522-7000

2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

Interoperability endpoints

  • Direct secure messaging: cmccaskill223835@direct.unc.nchie.net

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1518998889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1717",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275331717",
            "telephone_number": "919-587-4081",
            "fax_number": "919-580-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 WAYNE MEMORIAL DR",
            "address_2": "SUITE D",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275342202",
            "telephone_number": "919-736-0767",
            "fax_number": "919-580-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCASKILL",
        "first_name": "CLEMENT",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "28928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01339944",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8955739",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmccaskill223835@direct.unc.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1506 Wayne Memorial Dr",
            "address_2": "Suite D",
            "city": "Goldsboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275342202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.