WHITE OAK URGENT CARE RANDLEMAN
NPI 1104925072
Emergency Medicine in Randleman, NC
About White Oak Urgent Care Randleman NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WHITE OAK URGENT CARE RANDLEMAN (NPI 1104925072) is a healthcare organization registered as an emergency medicine in Randleman, North Carolina and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through October 26, 2027 and lists Laura S. Gore, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
White Oak Urgent Care Randleman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to White Oak Urgent Care Randleman, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 10 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (13)
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 34D0990794
White Oak Urgent Care Randleman · Randleman, NCFrequently 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 White Oak Family Physicians, PA's NPI number?
The NPI number for White Oak Family Physicians, PA is 1104925072. It was assigned to this organization in the NPPES registry on September 21, 2006. The provider is doing business as White Oak Urgent Care Randleman.
Where is White Oak Family Physicians, PA located?
White Oak Family Physicians, PA is located at 608 W Academy St, Randleman, NC 27317. The listed phone number is (336) 495-1001.
What is White Oak Family Physicians, PA's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is White Oak Family Physicians, PA enrolled in Medicare?
Yes. White Oak Family Physicians, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through White Oak Family Physicians, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 2 Medicare specialties reassign their Medicare billing to White Oak Family Physicians, PA. 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 Family Practice (7) and Nurse Practitioner (6). Of these, 1 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does White Oak Family Physicians, PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D0990794) is associated with this NPI, valid through October 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does White Oak Family Physicians, PA accept?
Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list White Oak Family Physicians, PA 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 White Oak Family Physicians, PA was last updated on August 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# White Oak Urgent Care Randleman · NPI 1104925072
Emergency Medicine organization in Randleman, North Carolina. Organization record, active in the CMS NPPES registry since September 21, 2006.
## Identity
- **NPI:** 1104925072 (Entity type: Organization)
- **Enumerated:** September 21, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **Legal business name:** White Oak Family Physicians, Pa
- **Organization subpart:** No
- **Authorized official:** Laura Gore, CEO
## Practice location
- **Address:** 608 W ACADEMY ST, Randleman, NC 27317-9748
- **Phone:** (336) 495-1001 · **Fax:** (336) 495-1005
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (7), Nurse Practitioner (6); 1 practice at this address and 10 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 13, 2021
- **Other identifiers:** Other 012NG (NC); Medicaid 89012NG (NC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104925072) · Data from the CMS NPPES public registry.