Organization Active NPI

Wayne Family Medical Center, Inc.

  • Primary Care Clinic/Center
  • Goldsboro, NC
National Provider Identifier
1689638025
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
WAYNE FAMILY MEDICAL CENTER, INC.
Practice address
2807 McLamb PL
Goldsboro, NC 27534-1647
Phone
(919) 734-3999
Fax
(919) 734-0107
NPI assigned
Apr 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Authorized official

Name
Dr. Muhammad Ashraf Bhatti, M.D.NPI 1558372680
Title
Owner/President
Phone
(919) 734-3999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NC Primary

Addresses

Primary practice location

2807 McLamb PL
Goldsboro, NC 27534-1647

Mailing address

2807 McLamb PL
Goldsboro, NC 27534-1647
Phone (919) 734-3999

Other identifiers 4

IdentifierTypeStateIssuer
890248WMedicaidNC
2339681OtherNCBCBS
DE5383OtherRAILROAD MEDICARE
2339681OtherMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071211000600 NC Part B Supplier - Clinic/Group Practice 9830152057 Receives reassigned benefits from 1 practitioner
Practice locations: Goldsboro, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0906171Wayne Family Medical Center2807 McLamb Place, Goldsboro, NC 27534Provider-performed microscopyNov 6, 2027

National Provider Directory

National Provider Directory

Locations

2807 McLamb Pl
Goldsboro, NC 27534
Phone (919) 734-3999

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1689638025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 MCLAMB PL",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341647",
            "telephone_number": "919-734-3999",
            "fax_number": "919-734-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 MCLAMB PL",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341647",
            "telephone_number": "919-734-3999",
            "fax_number": "919-734-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE FAMILY MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "BHATTI",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "ASHRAF",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "919-734-3999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890248W",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2339681",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE5383",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2339681",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.

Verify at the official NPI Registry.