Goldsboro Wellness Center,PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9900553 Issued in NC

Legal business name

GOLDSBORO WELLNESS CENTER,PA

Practice address

1100 Parkway Dr
Suite C
Goldsboro, NC 27534-3477

Phone

(919) 778-7665

Fax

(919) 778-7665

NPI assigned

Jul 21, 2009

Organization subpart

No

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

Authorized official

Name

Shannon R Jimenez, D.O

Title

Owner

Phone

(919) 778-1676

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Teresa Jean Cochran, PA

  • Physician Assistant
  • Goldsboro, NC
  • NPI 1962506246
  NPD (past)

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1659501930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 US HIGHWAY 70 W",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275307779",
            "telephone_number": "919-739-4808",
            "fax_number": "919-739-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 PARKWAY DR",
            "address_2": "SUITE C",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275343477",
            "telephone_number": "919-778-7665",
            "fax_number": "919-778-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDSBORO WELLNESS CENTER,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-21",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-778-1676",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9900553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Goldsboro Wayne Transportation Authority
• Goldsboro Wellness Center PA (Goldsboro Wellness Center)
• Good Help Homecare Agency
• Good Help Pathways to Wellness
• Lester Osmar Gopar, DDS
• Brittany Elizabeth Gose, FNP-C
• Goshen Medical Center Incorporated

• Family Medicine Physician in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.