Active NPI
County of Wayne
- State or Local Public Health Clinic/Center
- Goldsboro, NC
National Provider Identifier
1871594622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- State or Local Public Health Clinic/Center
- License
- 7221
- Legal business name
- COUNTY OF WAYNE
- Practice address
- 1560 Clingman St
Goldsboro, NC 27534-2162 - Phone
- (919) 731-1000
- Fax
- (373) 705-6546
- NPI assigned
- Aug 2, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dawn Kaupa
- Title
- Medical Records Manager
- Phone
- (919) 731-1284
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 7221 | NC | |
| Dental Clinic/Center | 261QD0000X | 7221 | NC | |
| Non-Surgical Family Planning Clinic/Center | 261QF0050X | 7221 | NC | |
| Medical Specialty Clinic/Center | 261QM2500X | 7221 | NC | |
| State or Local Public Health Clinic/Center | 261QP0905X | 7221 | NC | Primary |
| Clinical Medical Laboratory | 291U00000X | 7221 | NC | |
| Clinic Pharmacy | 3336C0002X | 03873 | NC |
Addresses
Primary practice location
1560 Clingman St
Goldsboro, NC 27534-2162
Mailing address
1560 Clingman St
Goldsboro, NC 27534-2162
Phone (919) 731-1000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3404396 | Medicaid | NC | |
| 07114 | Other | NC | BLUE CROSS - BLUE SHIELD |
| 3404479 | Medicaid | NC | |
| 34D0865177 | Other | NC | NC STATE LAB |
Other names 2
- Wayne County Health Department
- Wayne County Health Dept - Clinical Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060509000371 | NC | Part B Supplier - Clinic/Group Practice | 1759392517 |
1 other NPI on this enrollment Practice locations: Goldsboro, NC |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- State or Local Public Health Clinic/Center
- Goldsboro, NC
- NPI 1962541367
O20060509000371
National Provider Directory
National Provider DirectoryLocations
1560 Clingman St
Goldsboro, NC 27534
Phone (919) 731-1000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778112000000",
"number": "1871594622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 CLINGMAN ST",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275342162",
"telephone_number": "919-731-1000",
"fax_number": "919-705-6546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1560 CLINGMAN ST",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275342162",
"telephone_number": "919-731-1000",
"fax_number": "373-705-6546"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF WAYNE",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-02",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A",
"authorized_official_last_name": "KAUPA",
"authorized_official_first_name": "DAWN",
"authorized_official_title_or_position": "MEDICAL RECORDS MANAGER",
"authorized_official_telephone_number": "919-731-1284"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NC",
"license": "7221",
"primary": false
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NC",
"license": "7221",
"primary": false
},
{
"code": "261QF0050X",
"taxonomy_group": "",
"desc": "Clinic/Center, Family Planning, Non-Surgical",
"state": "NC",
"license": "7221",
"primary": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "NC",
"license": "7221",
"primary": false
},
{
"code": "261QP0905X",
"taxonomy_group": "",
"desc": "Clinic/Center, Public Health, State or Local",
"state": "NC",
"license": "7221",
"primary": true
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NC",
"license": "7221",
"primary": false
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": "NC",
"license": "03873",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3404396",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS - BLUE SHIELD",
"identifier": "07114",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3404479",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC STATE LAB",
"identifier": "34D0865177",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wayne County Health Department",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Wayne County Health Dept - Clinical Services",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Wayne County Health Dept - Clinical Services",
"code": "5",
"type": "Other Name"
}
]
}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 May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.