GOSHEN MEDICAL CENTER - FAIRVIEW
NPI 1023424686
Clinic/Center - Federally Qualified Health Center (FQHC) in Clinton, NC

Active since July 03, 2014
408 FAIRVIEW ST, CLINTON, NC 28328(910) 596-2400(910) 267-8933 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 16, 2024, Sep 20, 2022 (2 updates tracked since 2022).

About Goshen Medical Center - Fairview NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOSHEN MEDICAL CENTER - FAIRVIEW (NPI 1023424686) is a healthcare organization registered as a federally qualified health center (fqhc) in Clinton, North Carolina and active in the NPI registry since July 2014. The organization lists Rebecca M Brown, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1023424686
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameGOSHEN MEDICAL CENTER, INC
Location Address408 FAIRVIEW STClinton, NC 28328-2312
Mailing AddressPo Box 187Faison, NC 28341-0187 · (910) 267-0421 · Fax (910) 267-8683
Fax(910) 267-8933
Organization SubpartYes
Authorized OfficialRebecca M BrownCredentialing · (910) 267-8252
Enumeration DateJuly 3, 2014
Last NPPES UpdateDecember 16, 20242 updates tracked since enumeration
NPPES CertifiedDecember 16, 2024
✔ NPI 1023424686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
408 FAIRVIEW ST, Clinton, NC 28328

Other Names 1

Doing Business AsGoshen Medical Center - Fairview

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Goshen Medical Center - Fairview is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNorth CarolinaEnrollment IDO20040102000726Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

173

Medicare enrollment records show 173 clinicians reassign Medicare billing to Goshen Medical Center - Fairview, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Nurse Practitioner128
Family Practice17
Dentist8
Internal Medicine8
Clinical Social Worker6
General Practice3
Pediatric Medicine2
Emergency Medicine1

Nearest to this location (20)

See all 173
Nurse Practitioner
NPI 1891556122
408 FAIRVIEW ST
Clinton, NC 28328
(910) 596-2400
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1720739881
408 FAIRVIEW ST
Clinton, NC 28328
(910) 596-2400
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1578563201
408 FAIRVIEW ST
Clinton, NC 28328
(910) 596-2400
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1124808894
906 N US 421 HWY
Clinton, NC 28328
(910) 592-1462
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1700560653
906 N US 421 HWY
Clinton, NC 28328
(910) 592-1462
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1275174401
906 N US HIGHWAY 421
Clinton, NC 28328
(910) 592-1462
✔ PECOS1.0 mi
Nurse Practitioner
NPI 1679895296
906 N US HIGHWAY 421
Clinton, NC 28328
(910) 592-1462
✔ PECOS1.0 mi
Dentist
NPI 1689510976
908 N US HIGHWAY 421
Clinton, NC 28328
(910) 299-0991
✔ PECOS1.0 mi
Nurse Practitioner
NPI 1790391472
1106 SUNSET AVE
Clinton, NC 28328
(919) 648-4847
✔ PECOS✔ Accepts Medicare1.6 mi
Family Practice
NPI 1629189279
120 SOUTHWOOD DR
Clinton, NC 28328
(910) 592-7981
✔ PECOS2.4 mi
Dentist
NPI 1396533568
460 SW CENTER ST
Faison, NC 28341
(910) 267-0951
✔ PECOS13 mi
Dentist
NPI 1396482295
460 SW CENTER ST
Faison, NC 28341
(910) 267-0951
✔ PECOS13 mi
Internal Medicine
NPI 1073684015
444 SW CENTER ST.
Faison, NC 28341
(910) 267-0421
✔ PECOS✔ Accepts Medicare13 mi
Internal Medicine
NPI 1356682579
444 SW CENTER ST
Faison, NC 28341
(910) 267-0421
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1902405665
444 SW CENTER ST
Faison, NC 28341
(910) 267-0421
✔ PECOS13 mi
Nurse Practitioner
NPI 1699313452
444 SW CENTER ST
Faison, NC 28341
(910) 267-0421
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1649397357
113 S PINE ST
Warsaw, NC 28398
(910) 293-7246
✔ PECOS13 mi
Nurse Practitioner
NPI 1174478309
603 E COLLEGE ST
Warsaw, NC 28398
(910) 293-3900
✔ PECOS14 mi
Family Practice
NPI 1205417722
748 KENANSVILLE BYP
Kenansville, NC 28349
(910) 296-8080
✔ PECOS✔ Accepts Medicare21 mi
Internal Medicine
NPI 1740264084
214 DUPLIN ST
Kenansville, NC 28349
(910) 296-1811
✔ PECOS✔ Accepts Medicare21 mi
See all 173 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D0929678

Goshen Medical Center - Fairview · Clinton, NC
Expired · Oct 16, 2026
CLIA Number34D0929678
Laboratory TypePractitioner Other
Certificate Effective DateOctober 17, 2024
Certificate Expiration DateOctober 16, 2026
Laboratory DirectorRussell Matthews
Laboratory Phone(910) 596-2400
Laboratory LocationGoshen Medical Center - Fairview408 Fairview Street, Clinton, NC 28328
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Goshen Medical Center, Inc's NPI number?

The NPI number for Goshen Medical Center, Inc is 1023424686. It was assigned to this organization in the NPPES registry on July 3, 2014. The provider is doing business as Goshen Medical Center - Fairview.

Where is Goshen Medical Center, Inc located?

Goshen Medical Center, Inc is located at 408 Fairview St, Clinton, NC 28328. The listed phone number is (910) 596-2400.

What is Goshen Medical Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Goshen Medical Center, Inc enrolled in Medicare?

Yes. Goshen Medical Center, Inc is registered in the Medicare PECOS enrollment system.

When is Goshen Medical Center, Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Goshen Medical Center, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 173 clinicians in 8 Medicare specialties reassign their Medicare billing to Goshen Medical Center, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (128), Family Practice (17) and Dentist (8). Of these, 2 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Goshen Medical Center, Inc accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Cigna Healthcare list Goshen Medical Center, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Goshen Medical Center, Inc was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.