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MEDSTAT OF GOLDSBORO INC.
NPI 1134217680
Family Medicine in Goldsboro, NC

Active since October 10, 2006
1707 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534(919) 736-9699(919) 734-0501 Get Directions Write a Review

NPPES record last updated: March 30, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Medstat Of Goldsboro Inc. NPPES

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

MEDSTAT OF GOLDSBORO INC. (NPI 1134217680) is a healthcare organization registered as a family medicine in Goldsboro, North Carolina and active in the NPI registry since October 2006. The organization lists Vicky B Le, Account Manager, as its authorized official.

NPPES Registry Identity

NPI1134217680
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEDSTAT OF GOLDSBORO INC.
Location Address1707 WAYNE MEMORIAL DRGoldsboro, NC 27534-2239
Mailing Address1707 Wayne Memorial DrGoldsboro, NC 27534-2239 · (919) 736-9699 · Fax (919) 734-0501
Phone(919) 736-9699
Fax(919) 734-0501
Organization SubpartNo
Authorized OfficialVicky B LeAccount Manager · (919) 736-9699
Enumeration DateOctober 10, 2006
Last NPPES UpdateMarch 30, 2010
✔ NPI 1134217680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 25354
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1707 WAYNE MEMORIAL DR, Goldsboro, NC 27534
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Other Identifiers 2

Medicare UPINC81757NC
Medicare PIN2314125NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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)

Medstat Of Goldsboro Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Medstat Of Goldsboro Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Solange Le, MD
Family Practice
NPI 1760568919
1707 WAYNE MEMORIAL DR
Goldsboro, NC 27534
(919) 736-9699
✔ PECOSSame address

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

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 Medstat Of Goldsboro Inc.'s NPI number?

The NPI number for Medstat Of Goldsboro Inc. is 1134217680. It was assigned to this organization in the NPPES registry on October 10, 2006.

Where is Medstat Of Goldsboro Inc. located?

Medstat Of Goldsboro Inc. is located at 1707 Wayne Memorial Dr, Goldsboro, NC 27534. The listed phone number is (919) 736-9699.

What is Medstat Of Goldsboro Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Medstat Of Goldsboro Inc. enrolled in Medicare?

Yes. Medstat Of Goldsboro Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medstat Of Goldsboro Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Medstat Of Goldsboro 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Medstat Of Goldsboro Inc. accept?

Health plans from Blue Cross and Blue Shield of NC list Medstat Of Goldsboro 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 Medstat Of Goldsboro Inc. was last updated on March 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.