Organization Active NPI

GVNR, LLC

  • Interventional Pain Medicine Physician
  • Goldsboro, NC
National Provider Identifier
1730875444
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
GVNR, LLC
Practice address
206 E Mulberry St
Goldsboro, NC 27530-3733
Phone
(919) 394-9727
Fax
(919) 759-9188
NPI assigned
Apr 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Authorized official

Name
Dr. Mathew Wilding, DCNPI 1912048018
Title
Owner
Phone
(919) 394-9727

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
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

206 E Mulberry St
Goldsboro, NC 27530-3733

Mailing address

206 E Mulberry St
Goldsboro, NC 27530-3733
Phone (919) 394-9727

National Provider Directory

National Provider Directory

Locations

206 E Mulberry St
Goldsboro, NC 27530
Phone (919) 394-9727

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1730875444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 E MULBERRY ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275303733",
            "telephone_number": "919-394-9727",
            "fax_number": "919-759-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E MULBERRY ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275303733",
            "telephone_number": "919-394-9727",
            "fax_number": "919-759-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GVNR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "WILDING",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-394-9727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 14, 2023; 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.