Active NPI
DLP Wilson Physician Practices LLC
Doing business as Wilson Primary Care
- Rural Health Clinic/Center
- Wilson, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- DLP WILSON PHYSICIAN PRACTICES LLC
- Doing business as
- Wilson Primary Care
- Practice address
- 1700 Tarboro St W Ste 200
Wilson, NC 27893-3481 - Phone
- (252) 399-5310
- Fax
- (252) 399-5311
- NPI assigned
- Jun 30, 2023
- Last updated
- Sep 27, 2024
- 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
- Charlotte Lawrence
- Title
- Secretary
- Phone
- (615) 920-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
1700 Tarboro St W Ste 200
Wilson, NC 27893-3481
Mailing address
330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7000
Other names 1
- Wilson Primary Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140502000396 | NC | Part B Supplier - Clinic/Group Practice | 2567695307 |
Receives reassigned benefits from 84 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Stantonsburg, NC; Wilson, NC; Bailey, NC |
| O20230713002748 | NC | Part A Provider - Rural Health Clinic | 2567695307 | Practice locations: Wilson, NC |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1992482079. Details of each certification follow.
Rural health clinic certification: CCN 348984
- Legal name
- DLP WILSON PHYSICIAN PRACTICES LLC
- Doing business as
- WILSON PRIMARY CARE
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Dec 28, 2023
- Last certification
- Dec 28, 2023
- Ownership / control type
- 1B
- Organization structure
- LLC
- Incorporated
- Nov 19, 2013 in DE
- Enrollment address
- 1700 Tarboro St W
Ste 200
Wilson, NC 27893-3481
Other NPIs with the same Medicare PAC ID 4
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Wilson New Hope Primary Care
- Rural Health Clinic/Center
- Wilson, NC
- NPI 1346927423
2567695307
-
dba Wilson Family Care
- Rural Health Clinic/Center
- Wilson, NC
- NPI 1437834058
2567695307
-
dba Bailey Primary Care
- Rural Health Clinic/Center
- Bailey, NC
- NPI 1629753231
2567695307
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Wilson New Hope Primary Care
- Rural Health Clinic/Center
- Wilson, NC
- NPI 1346927423
O20140502000396
-
dba Wilson Family Care
- Rural Health Clinic/Center
- Wilson, NC
- NPI 1437834058
O20140502000396
-
dba Bailey Primary Care
- Rural Health Clinic/Center
- Bailey, NC
- NPI 1629753231
O20140502000396
-
- Family Medicine Physician
- Wilson, NC
- NPI 1932521010
O20140502000396
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2095295 | Wilson Primary Care | Certificate of waiver | May 4, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Wilson Medical Center
- General Acute Care Hospital
- Wilson, NC
- NPI 1215359922
Member Of
Locations
1700 Tarboro St W
Ste 100
Wilson, NC 27893
Phone (252) 399-5300
1700 Tarboro St W
Ste 205
Wilson, NC 27893
Phone (252) 399-5304
4845 Nash St NW
Ste A
Wilson, NC 27896
Phone (252) 243-0053
Ownership & related parties
All disclosed owners & managing parties 17
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Lifepoint Holdings 2 LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2023 | 77% |
| DLP Wilson Medical Center, LLC | 5% Or Greater Direct Ownership Interest | Jul 1, 2023 | 100% |
| Pamela Kane | Corporate Officer | Jul 1, 2023 | |
| Wilson Medical Center, Inc. | 5% Or Greater Indirect Ownership Interest | Jul 1, 2023 | 20% |
| DSB Acquisition LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2023 | 77% |
| Laura C Hinson | Corporate Officer | Mar 12, 2025 | |
| Lifepoint Hospitals Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2023 | 77% |
| DLP Wilson Holding Company LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2023 | 100% |
| DLP Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2023 | 80% |
| Historic Lifepoint Hospitals, LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2023 | 77% |
| Lifepoint Health Inc | 5% Or Greater Indirect Ownership Interest | Jul 1, 2023 | 77% |
| Charlotte E Lawrence | Corporate Officer | Jul 1, 2023 | |
| DLP Partner LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2023 | 77% |
| Klaus Michael Boel | Corporate Officer | Aug 19, 2024 | |
| W-2 Managing Employee | Aug 19, 2024 | ||
| John Michael Grooms | Corporate Officer | Jul 1, 2023 | |
| Christopher J Monte | Corporate Officer | Jul 1, 2023 | |
| Legacy Lifepoint Health LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2023 | 77% |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Wilson Medical Center
- General Acute Care Hospital
- Wilson, NC
- NPI 1215359922
5% Or Greater Direct Ownership Interest
-
dba Wilson Medical Center
- Psychiatric Hospital Unit
- Wilson, NC
- NPI 1386196459
5% Or Greater Direct Ownership Interest
Facilities with the same owner 202
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Central Carolina Hospital
- General Acute Care Hospital
- Sanford, NC
- NPI 1902836943
DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Central Carolina Family Care South
- Rural Health Clinic/Center
- Sanford, NC
- NPI 1003508367
DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Central Carolina Community Family Care
- Rural Health Clinic/Center
- Sanford, NC
- NPI 1073204715
DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Central Carolina Sandhills Family Care
- Rural Health Clinic/Center
- Sanford, NC
- NPI 1174208813
DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Central Carolina Women's Health Center
- Rural Health Clinic/Center
- Sanford, NC
- NPI 1518642255
DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Central Carolina Sandhills Family Care
- Rural Health Clinic/Center
- Broadway, NC
- NPI 1578254215
DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Central Carolina Gynecology and Aesthetics
- Rural Health Clinic/Center
- Sanford, NC
- NPI 1790568046
DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba FryeCare Lincolnton Medical Group
- Rural Health Clinic/Center
- Lincolnton, NC
- NPI 1154005965
DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Frye Regional Medical Center
- Rehabilitation Hospital Unit
- Hickory, NC
- NPI 1275557654
DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Frye Regional Medical Center
- Psychiatric Hospital Unit
- Hickory, NC
- NPI 1659393932
DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Frye Regional Medical Center
- General Acute Care Hospital
- Hickory, NC
- NPI 1801823349
DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Harris Regional Hospital
- General Acute Care Hospital
- Sylva, NC
- NPI 1407962046
DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
Practitioners & affiliated clinicians
Practitioners 83
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.
-
- Pediatrics Physician
- Wilson, NC
- NPI 1629852587
-
- Internal Medicine Physician
- Wilson, NC
- NPI 1487650669
-
- Psychiatry Physician
- Charlotte, NC
- NPI 1588920052
-
- Psychiatric/Mental Health Nurse Practitioner
- Smithfield, NC
- NPI 1346804739
-
- Endocrinology, Diabetes & Metabolism Physician
- Henderson, NC
- NPI 1619071065
-
- Urology Physician
- Cary, NC
- NPI 1205179959
-
- Physician Assistant
- Bailey, NC
- NPI 1013915388
-
- Psychiatry Physician
- Wilson, NC
- NPI 1265319024
-
- Gastroenterology Physician
- Wilson, NC
- NPI 1487215109
-
- Physician Assistant
- Winston Salem, NC
- NPI 1750718854
-
- Family Medicine Physician
- Wilson, NC
- NPI 1841248168
-
- Internal Medicine Physician
- Raleigh, NC
- NPI 1083660146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727395200000",
"number": "1992482079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 SEVEN SPRINGS WAY",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275098",
"telephone_number": "615-920-7000",
"fax_number": "615-920-8775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 TARBORO ST W STE 200",
"city": "WILSON",
"state": "NC",
"postal_code": "278933481",
"telephone_number": "252-399-5310",
"fax_number": "252-399-5311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DLP WILSON PHYSICIAN PRACTICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-30",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A",
"authorized_official_last_name": "LAWRENCE",
"authorized_official_first_name": "CHARLOTTE",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "615-920-7000"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Wilson Primary Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Wilson Primary Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Wilson, NC
- DLP Wilson Medical Center LLC (Home Care of Wilson Medical Center)
- DLP Wilson Medical Center LLC (Wilson Medical Center Medical Nutritional Therapy)
- DLP Wilson Physician Practices LLC (Wilson New Hope Primary Care)
- DLP Wilson Physician Practices LLC (Wilson Family Care)
- DLP Wilson Physician Practices LLC
- Lacey Dawn Dlugos
- Veena H Doshi, MD
- Tayler Ann Dotson, COTA/L AC
- Dove Healthcare, Inc.
- Dr John Q Watson DDS Msco PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.