CAROLINA INTERNAL MEDICINE AND PEDIATRICS
NPI 1124460514
Clinic/Center - Primary Care in Goldsboro, NC

Active since July 25, 2013CLIA 34D2020428 · Waiver
204 MALLOY ST STE A, GOLDSBORO, NC 27534(919) 751-7665(919) 651-1370 Get Directions Write a Review

NPPES record last updated: July 25, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carolina Internal Medicine And Pediatrics NPPES

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

CAROLINA INTERNAL MEDICINE AND PEDIATRICS (NPI 1124460514) is a healthcare organization registered as a primary care in Goldsboro, North Carolina and active in the NPI registry since July 2013. The organization holds a CLIA Waiver certificate valid through February 17, 2027 and lists Van Lee Adams, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1124460514
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameVAN L. ADAMS M. D., PLLC
Location Address204 MALLOY ST STE AGoldsboro, NC 27534-4477
Mailing Address204 Malloy St Ste AGoldsboro, NC 27534-4477 · (919) 751-7665 · Fax (919) 651-1370
Fax(919) 651-1370
Organization SubpartNo
Authorized OfficialVan Lee AdamsPhysician/owner · (919) 751-7665
Enumeration DateJuly 25, 2013
✔ NPI 1124460514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
204 MALLOY ST STE A, Goldsboro, NC 27534

Other Names 1

Doing Business AsCarolina Internal Medicine And Pediatrics

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)

Carolina Internal Medicine And Pediatrics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Carolina Internal Medicine And Pediatrics, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1588872964
204 MALLOY STREET SUITE A
Goldsboro, NC 27534
(919) 751-7665
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1972154318
204 MALLOY ST STE A
Goldsboro, NC 27534
(919) 751-7665
✔ PECOSSame address

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 34D2020428

Van L Adams MD · Goldsboro, NC
Active · expires Feb 17, 2027
CLIA Number34D2020428
Laboratory TypePhysician Office
Certificate Effective DateFebruary 18, 2025
Certificate Expiration DateFebruary 17, 2027
Laboratory DirectorVan L. Adams
Laboratory Phone(919) 751-7665
Laboratory LocationVan L Adams MD202 Malloy Street Suite B, Goldsboro, NC 27534
CLIA data matches this NPI record on: 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 Van L. Adams M. D., PLLC's NPI number?

The NPI number for Van L. Adams M. D., PLLC is 1124460514. It was assigned to this organization in the NPPES registry on July 25, 2013. The provider is doing business as Carolina Internal Medicine And Pediatrics.

Where is Van L. Adams M. D., PLLC located?

Van L. Adams M. D., PLLC is located at 204 Malloy St Ste A, Goldsboro, NC 27534. The listed phone number is (919) 751-7665.

What is Van L. Adams M. D., PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Van L. Adams M. D., PLLC enrolled in Medicare?

Yes. Van L. Adams M. D., PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Van L. Adams M. D., PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Van L. Adams M. D., PLLC, in Internal Medicine and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Van L. Adams M. D., PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2020428) is associated with this NPI, valid through February 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Van L. Adams M. D., PLLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Cigna Healthcare list Van L. Adams M. D., PLLC 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 Van L. Adams M. D., PLLC was last updated on July 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.