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
- Last updated
- Aug 19, 2013
- 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
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
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.
-
- Family Medicine Physician
- Goldsboro, NC
- NPI 1679551949
-
- Nurse Practitioner
- Dover, NC
- NPI 1003356767
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": "",
"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.