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CHARLOTTE WHITEHURST GOODWYN FNP
NPI 1104170166
Nurse Practitioner in Farmville, NC

Active since October 30, 2012PECOS Enrolled
3485 N. MAIN STREET, FARMVILLE, NC 27858(252) 753-3193 Get Directions Write a Review

NPPES record last updated: November 1, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Charlotte Whitehurst Goodwyn Fnp NPPES

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

CHARLOTTE WHITEHURST GOODWYN FNP (NPI 1104170166) is an individual nurse practitioner in Farmville, North Carolina, licensed in North Carolina (5005885) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104170166
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCHARLOTTE WHITEHURST GOODWYNCredential: FNP
Location Address3485 N. MAIN STREETFarmville, NC 27858
Mailing Address706 Ferncliff LnTarboro, NC 27886-5629 · (252) 883-7416
Phone(252) 753-3193
Sole ProprietorNo
Enumeration DateOctober 30, 2012
Last NPPES UpdateNovember 1, 2012
✔ NPI 1104170166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5005885
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3485 N. MAIN STREET, Farmville, NC 27858
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charlotte Whitehurst Goodwyn Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Charlotte Goodwyn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Farmville Internal Medicine PA
Same address
Family Medicine
3485 N MAIN ST
Farmville, NC 27828
  • Reassigned Medicare billing, North Carolina enrollment
  • 6 clinicians in this Medicare group
NPI 1710942610 (252) 753-3193

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27858 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Charlotte Goodwyn's NPI number?

The NPI number for Charlotte Goodwyn is 1104170166. It was assigned to this individual provider in the NPPES registry on October 30, 2012.

Where is Charlotte Goodwyn located?

Charlotte Goodwyn practices at 3485 N. Main Street, Farmville, NC 27858. The listed phone number is (252) 753-3193.

What is Charlotte Goodwyn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Charlotte Goodwyn enrolled in Medicare?

Yes. Charlotte Goodwyn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Charlotte Goodwyn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charlotte Goodwyn reassigns Medicare benefits to Farmville Internal Medicine PA (Farmville, NC). The 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 Charlotte Goodwyn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charlotte Goodwyn accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Charlotte Goodwyn 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 Charlotte Goodwyn was last updated on November 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.