Wilson Egbe Tabe, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

200101288 Issued in NC

Practice address

1402 Wayne Memorial Dr
Goldsboro, NC 27534-2252

Phone

(919) 735-3311

NPI assigned

Jan 5, 2006

Last updated

Apr 24, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family PracticeAlso: Addiction Medicine

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Goldsboro, NC, CCN 347331
• Unc Health Care Wayne Hospital, Goldsboro, NC, CCN 340010

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medical Care Inc

  • Family Medicine Physician
  • Goldsboro, NC
  • NPI 1962673673
  Medicare reassignment NPD Authorized official
• Medical Care Sleep Lab

  dba Medical care

  • Family Medicine Physician
  • Goldsboro, NC
  • NPI 1396186508
  Authorized official Same address or phone
• Support Care

  • Assisted Living Facility (Mental Illness)
  • Goldsboro, NC
  • NPI 1033321948
  Authorized official Same address or phone
• Support Care LLC

  • Community/Behavioral Health Agency
  • Goldsboro, NC
  • NPI 1609064948
  Authorized official Same address or phone
• Medical Care Inc

  • Health Maintenance Organization
  • Goldsboro, NC
  • NPI 1780031542
  NPD (past)

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

• Tar Heel Health Care Services, LLC

  dba CenterWell Home Health

  • Home Health Agency
  • Goldsboro, NC
  • NPI 1558391391
  Care Compare affiliation
• Wayne Memorial Hospital Inc

  dba UNC Health Wayne

  • General Acute Care Hospital
  • Goldsboro, NC
  • NPI 1750353462
  Care Compare affiliation

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1679551949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 WAYNE MEMORIAL DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275342235",
            "telephone_number": "919-735-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 WAYNE MEMORIAL DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275342252",
            "telephone_number": "919-735-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABE",
        "first_name": "WILSON",
        "middle_name": "EGBE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200101288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8912923",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Gregory Swedenburg, MD
• Rita Sweet
• Misha Monette Sykes
• Synergy Wellness Clinic, PLLC
• T Gibson Blackman (Atlantic Eye Center)
• Tar Heel Health Care Services, LLC (CenterWell Home Health)
• Dianne Tart, M.S.,CCC-SLP
• David Thomas Tayloe, MD
• Taylor Home
• Cameron Sullivan Taylor, DDS

• 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 Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.