Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WAYNE RADIOLOGISTS P A
NPI 1093779621
Radiology - Body Imaging in Goldsboro, NC

Active since April 12, 2006CLIA 34D1075365 · Waiver
2700 MEDICAL OFFICE PL, GOLDSBORO, NC 27534(919) 736-5300(919) 736-1804 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 5, 2026, Mar 25, 2021, Aug 22, 2020 (3 updates tracked since 2020).

About Wayne Radiologists P A NPPES

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

WAYNE RADIOLOGISTS P A (NPI 1093779621) is a healthcare organization registered as a body imaging in Goldsboro, North Carolina and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through October 17, 2027 and lists Jennifer J Pate, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1093779621
Entity TypeOrganization
Primary Taxonomy2085B0100X
Legal Business NameWAYNE RADIOLOGISTS P A
Location Address2700 MEDICAL OFFICE PLGoldsboro, NC 27534-9460
Mailing Address2700 Medical Office PlGoldsboro, NC 27534-9460 · (919) 736-5300 · Fax (919) 736-1804
Fax(919) 736-1804
Organization SubpartNo
Authorized OfficialJennifer J PatePractice Manager · (919) 736-5315
Enumeration DateApril 12, 2006
Last NPPES UpdateOctober 5, 20263 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1093779621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Body ImagingAllopathic & Osteopathic Physicians
Taxonomy Code2085B0100X
License✔ Licensed in NC · 39524
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
2700 MEDICAL OFFICE PL, Goldsboro, NC 27534

Other Identifiers 3

Medicaid8902898NC
Other02898NC · Bcbs
Other02898NC · Bcbs State

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)

Wayne Radiologists P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date 3

Next revalidation due by October 31, 2026

This provider holds 3 Medicare enrollments with upcoming revalidation dates. 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
StateIdahoEnrollment IDO20201209000754Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
StateKansasEnrollment IDO20201203000423Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
StateTexasEnrollment IDO20201209001214Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

47

Medicare enrollment records show 47 clinicians reassign Medicare billing to Wayne Radiologists P A, which bills Medicare for the services they deliver. Of these, 7 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Diagnostic Radiology45
Interventional Radiology2

Nearest to this location (20)

See all 47
Interventional Radiology
NPI 1356340541
2700 MEDICAL OFFICE PL
Goldsboro, NC 27534
(919) 734-1866
✔ PECOSSame address
Diagnostic Radiology
NPI 1083751044
2700 MEDICAL OFFICE PL
Goldsboro, NC 27534
(919) 734-1866
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1477515773
2700 MEDICAL OFFICE PL
Goldsboro, NC 27534
(919) 734-1866
✔ PECOSSame address
Diagnostic Radiology
NPI 1700848454
2700 MEDICAL OFFICE PL
Goldsboro, NC 27534
(919) 734-1866
✔ PECOSSame address
Diagnostic Radiology
NPI 1548386337
2700 MEDICAL OFFICE PL
Goldsboro, NC 27534
(919) 734-1866
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1457554263
2700 MEDICAL OFFICE PL
Goldsboro, NC 27534
(919) 734-1866
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1689636334
2700 MEDICAL OFFICE PL
Goldsboro, NC 27534
(919) 734-1866
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1497726681
608-G LINDEN DR
Eden, NC 27288
(336) 623-6522
✔ PECOS125 mi
Diagnostic Radiology
NPI 1184634628
1241 WOODLAND AVENUE
Mount Pleasant, SC 29464
(843) 824-0606
✔ PECOS✔ Accepts Medicare208 mi
Diagnostic Radiology
NPI 1316925928
11444 AIDAN RUN COURT
Great Falls, VA 22066
(952) 595-1100
✔ PECOS✔ Accepts Medicare250 mi
Diagnostic Radiology
NPI 1609180306
1407 BALDERSTON CT NE
Leesburg, VA 20176
(732) 841-4962
✔ PECOS✔ Accepts Medicare256 mi
Diagnostic Radiology
NPI 1346253093
6762 GREEN MILL WAY
Columbia, MD 21044
(208) 416-2932
✔ PECOS✔ Accepts Medicare267 mi
Diagnostic Radiology
NPI 1386688851
434 CONFEDERATE DR
Clayton, GA 30525
(855) 687-7237
✔ PECOS309 mi
Diagnostic Radiology
NPI 1679809537
1924 ALCOA HWY
Knoxville, TN 37920
(865) 305-9340
✔ PECOS✔ Accepts Medicare339 mi
Diagnostic Radiology
NPI 1366854325
105 GABLE RD
Paoli, PA 19301
(484) 320-7503
✔ PECOS✔ Accepts Medicare347 mi
Diagnostic Radiology
NPI 1972866911
8488 SPERANZA LN
Huntingdon, PA 16652
(800) 466-4723
✔ PECOS✔ Accepts Medicare354 mi
Diagnostic Radiology
NPI 1033193941
7762 CHETWOOD CLOSE
New Albany, OH 43054
(614) 279-8060
✔ PECOS✔ Accepts Medicare417 mi
Interventional Radiology
NPI 1376633313
HSC LEVEL 4 ROOM 120
Stony Brook, NY 11794
(631) 444-5400
✔ PECOS✔ Accepts Medicare462 mi
Diagnostic Radiology
NPI 1174581839
24493 CORNERSTONE
Westlake, OH 44145
(855) 687-7237
✔ PECOS✔ Accepts Medicare469 mi
Diagnostic Radiology
NPI 1639111966
501 S BALLENGER HWY SUITE B
Flint, MI 48532
(810) 342-4800
✔ PECOS✔ Accepts Medicare609 mi
See all 47 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 34D1075365

Wayne Radiologists PA · Goldsboro, NC
Active · expires Oct 17, 2027
CLIA Number34D1075365
Laboratory TypePhysician Office
Certificate Effective DateOctober 18, 2025
Certificate Expiration DateOctober 17, 2027
Laboratory DirectorJohnathan L. Lozevski
Laboratory Phone(919) 734-1866
Laboratory LocationWayne Radiologists PA2700 Medical Office Place, Goldsboro, NC 27534
CLIA data matches this NPI record on: Address Name
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 Wayne Radiologists P A's NPI number?

The NPI number for Wayne Radiologists P A is 1093779621. It was assigned to this organization in the NPPES registry on April 12, 2006.

Where is Wayne Radiologists P A located?

Wayne Radiologists P A is located at 2700 Medical Office Pl, Goldsboro, NC 27534. The listed phone number is (919) 736-5300.

What is Wayne Radiologists P A's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Body Imaging, with taxonomy code 2085B0100X.

Is Wayne Radiologists P A enrolled in Medicare?

Yes. Wayne Radiologists P A is registered in the Medicare PECOS enrollment system.

When is Wayne Radiologists P A's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), Wayne Radiologists P A holds 3 Medicare enrollments with upcoming revalidation dates. The next is due by October 31, 2026 (Non-DME Part B, Idaho, Clinic/Group Practice). 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 Wayne Radiologists P A?

According to the CMS Revalidation Reassignment List (October 2026 release), 47 clinicians in 2 Medicare specialties reassign their Medicare billing to Wayne Radiologists P A. 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 Diagnostic Radiology (45) and Interventional Radiology (2). Of these, 7 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wayne Radiologists P A hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1075365) is associated with this NPI, valid through October 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wayne Radiologists P A accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Wayne Radiologists P A 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 Wayne Radiologists P A was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.