Active NPI
Wound Care Specialists
- Family Medicine Physician
- Forest City, NC
National Provider Identifier
1538366372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- WOUND CARE SPECIALISTS
- Practice address
- 112 Sparks Dr
Forest City, NC 28043-9021 - Phone
- (828) 351-6000
- Fax
- (828) 894-5864
- NPI assigned
- Jun 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cati Harris
- Title
- Chief Operations Officer
- Phone
- (704) 672-7279
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
112 Sparks Dr
Forest City, NC 28043-9021
Mailing address
112 Sparks Dr
Forest City, NC 28043-9021
Phone (828) 351-6000
Other practice location 1
167 Ashton Ave
Mount Juliet, TN 37122-1516
Phone (704) 675-7279
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, TN, FL, MI, IN, AL, VA, TX, OH, GA
Enrollment records 10
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080214000581 | NC | Part B Supplier - Clinic/Group Practice | 6608959549 |
Receives reassigned benefits from 8 practitioners Practice locations: Forest City, NC |
| O20250516001840 | TN | Part B Supplier - Clinic/Group Practice | 6608959549 |
Receives reassigned benefits from 2 practitioners Practice locations: Mount Juliet, TN |
| O20260312000285 | FL | Part B Supplier - Clinic/Group Practice | 6608959549 |
Receives reassigned benefits from 4 practitioners Practice locations: Tampa, FL |
| O20260318002335 | MI | Part B Supplier - Clinic/Group Practice | 6608959549 |
Receives reassigned benefits from 1 practitioner Practice locations: Stanwood, MI |
| O20260319001197 | IN | Part B Supplier - Clinic/Group Practice | 6608959549 |
Receives reassigned benefits from 1 practitioner Practice locations: Muncie, IN |
| O20260323002707 | AL | Part B Supplier - Clinic/Group Practice | 6608959549 |
Receives reassigned benefits from 1 practitioner Practice locations: Florence, AL |
| O20260324000375 | VA | Part B Supplier - Clinic/Group Practice | 6608959549 |
Receives reassigned benefits from 8 practitioners Practice locations: Roanoke, VA |
| O20260329000073 | TX | Part B Supplier - Clinic/Group Practice | 6608959549 |
Receives reassigned benefits from 3 practitioners Practice locations: Austin, TX |
| O20260330002544 | OH | Part B Supplier - Clinic/Group Practice | 6608959549 |
Receives reassigned benefits from 1 practitioner Practice locations: Kettering, OH |
| O20260625003430 | GA | Part B Supplier - Clinic/Group Practice | 6608959549 |
Receives reassigned benefits from 1 practitioner Practice locations: Hiawasee, GA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2130122 | Wound Care Specialists | Certificate of waiver | Jun 15, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 20
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Forest City, NC
- NPI 1457302804
AL, FL, GA, IN, MI, NC, OH, TN, TX, VA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768348800000",
"number": "1538366372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 SPARKS DR",
"city": "FOREST CITY",
"state": "NC",
"postal_code": "280439021",
"telephone_number": "828-351-6000",
"fax_number": "828-287-7436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 SPARKS DR",
"city": "FOREST CITY",
"state": "NC",
"postal_code": "280439021",
"telephone_number": "828-351-6000",
"fax_number": "828-894-5864"
}
],
"practiceLocations": [
{
"address_1": "167 Ashton Ave",
"address_purpose": "LOCATION",
"city": "Mount Juliet",
"state": "TN",
"postal_code": "371221516",
"country_code": "US",
"telephone_number": "704-675-7279",
"fax_number": "704-675-7279",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WOUND CARE SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-27",
"last_updated": "2026-01-14",
"certification_date": "2026-01-14",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "CATI",
"authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
"authorized_official_telephone_number": "704-672-7279"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.