Active NPI
Medical Care Inc
- Family Medicine Physician
- Goldsboro, NC
National Provider Identifier
1962673673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2001-01288
- Legal business name
- MEDICAL CARE INC
- Practice address
- 1402 Wayne Memorial Dr
Goldsboro, NC 27534-2235 - Phone
- (919) 735-3311
- NPI assigned
- Mar 20, 2008
- 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
- Dr. Wilson Egbe Tabe, MD
- Title
- Owner
- Phone
- (919) 735-3311
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2001-01288 | NC | Primary |
Addresses
Primary practice location
1402 Wayne Memorial Dr
Goldsboro, NC 27534-2235
Mailing address
1402 Wayne Memorial Dr
Goldsboro, NC 27534-2235
Phone (919) 735-3311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8912923 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090110000142 | NC | Part B Supplier - Clinic/Group Practice | 0941363394 |
Receives reassigned benefits from 2 practitioners Practice locations: Goldsboro, NC |
National Provider Directory
National Provider Directory- Tax ID family
- Medical Care Sleep Lab
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Health Maintenance Organization
- Goldsboro, NC
- NPI 1780031542
-
- Family Medicine Physician
- Goldsboro, NC
- NPI 1396186508
Practitioners & affiliated clinicians
Practitioners 2
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": "1205971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376870400000",
"number": "1962673673",
"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": "275342235",
"telephone_number": "919-735-3311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-20",
"last_updated": "2013-08-19",
"status": "A",
"authorized_official_last_name": "TABE",
"authorized_official_first_name": "WILSON",
"authorized_official_middle_name": "EGBE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-735-3311",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NC",
"license": "2001-01288",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8912923",
"state": "NC"
}
],
"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 Aug 19, 2013; 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.