NPIMap

Organization Active NPI

Wayne Memorial Hospital Inc

Doing business as UNC Health Wayne

  • General Acute Care Hospital
  • Goldsboro, NC
National Provider Identifier
1750353462
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H0257 Issued in NC
Legal business name
WAYNE MEMORIAL HOSPITAL INC
Doing business as
UNC Health Wayne
Practice address
2700 Wayne Memorial Dr
Goldsboro, NC 27534-9459
Phone
(919) 731-6142
Fax
(919) 731-6966
NPI assigned
Feb 6, 2006
Last updated
Mar 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Authorized official

Name
Dr. Jessie L Tucker III
Title
President & Ceo
Phone
(919) 731-6142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H0257 NC Primary

Addresses

Primary practice location

2700 Wayne Memorial Dr
Goldsboro, NC 27534-9459

Mailing address

2700 Wayne Memorial Dr
Goldsboro, NC 27534-9494
Phone (919) 731-6142

Other identifiers 2

IdentifierTypeStateIssuer
3408635MedicaidNC
3400010MedicaidNC

Other names 1

  • UNC Health Wayne Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20031210000095 NC Part B Supplier - Clinic/Group Practice 3971409079 Receives reassigned benefits from 17 practitioners
Practice locations: Goldsboro, NC
O20040205000075 NC Part A Provider - Hospital 3971409079 Practice locations: Goldsboro, NC
O20070412000518 NC Part B Supplier - Clinic/Group Practice 3971409079 Receives reassigned benefits from 42 practitioners
Practice locations: Goldsboro, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750353462. Details of each certification follow.

Hospital certification: CCN 340010

Legal name
WAYNE MEMORIAL HOSPITAL INC
Doing business as
UNC HEALTH WAYNE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 13, 1997
Beds
316
Ownership / control type
Private (not for profit)
Organization structure
OtherNon-profit
Incorporated
Jul 1, 1966 in NC
Enrollment address
2700 Wayne Memorial Drive
Goldsboro, NC 27534-9459
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Unc Health Care WayneCCN 340010 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

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
34D2311434Unc Health Wayne2700 Wayne Memorial Drive, Goldsboro, NC 27534Certificate of waiverSep 22, 2026

National Provider Directory

National Provider Directory
Tax ID family
Wayne Memorial Hospital4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Wayne Health Corporation Organization, Goldsboro, NC 5% Or Greater Direct Ownership Interest Oct 1, 1985 100%
Katie Jane Hile Individual Corporate OfficerCno Dec 9, 2025
Dimitrios Lintzeris Individual Corporate DirectorDirector Jan 1, 2018
Joseph W Democko Individual Corporate DirectorBoard Member Jan 16, 2025
Christopher Carlton Wise Individual Corporate DirectorBoard of Directors Feb 1, 2022
Jonathan L Lozevski Individual Corporate Director Jan 1, 2024
University of North Carolina Health Care System Organization, Morrisville, NC Operational/Managerial Control Jan 1, 2016
Thomas Kendall Gerrard Individual Corporate DirectorDirector Jan 17, 2018
Jessie Lee Tucker Individual Corporate OfficerPresident & Ceo Dec 14, 2020
W-2 Managing Employee Feb 6, 2026
Joel Simon Rose Individual Corporate OfficerCmo Feb 2, 2026
Barbara Ann Aycock Individual Corporate DirectorBoard Member Jan 16, 2025
Charles Branson Vickory Individual Corporate DirectorBoard Member Jan 1, 2020
Harold Brashear Individual Corporate DirectorDirector Jan 17, 2018
Jackson Hylton Individual Corporate DirectorMed Staff President / Board Member Jan 1, 2026
Kate Marston Daniels Individual Corporate DirectorDirector Jan 1, 2019

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 43

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 43

Practitioners & affiliated clinicians

Practitioners 59

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.

View all 59

Affiliated clinicians 471

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 471

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1750353462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 WAYNE MEMORIAL DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349494",
            "telephone_number": "919-731-6142",
            "fax_number": "919-731-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 WAYNE MEMORIAL DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349459",
            "telephone_number": "919-731-6142",
            "fax_number": "919-731-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE MEMORIAL HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-06",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "919-731-6142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NC",
            "license": "H0257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408635",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3400010",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNC Health Wayne",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.