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CENTER FOR QUALITY CARE
NPI 1194361923
Clinic/Center - Primary Care in Bolivia, NC

Active since November 27, 2019CLIA 34D2178171 · Waiver
3971 BUSINESS 17 E, BOLIVIA, NC 28422(910) 500-6451(910) 500-6458 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2024, Feb 5, 2020, Dec 10, 2019 and 1 more (4 updates tracked since 2019).

About Center For Quality Care NPPES

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

CENTER FOR QUALITY CARE (NPI 1194361923) is a healthcare organization registered as a primary care in Bolivia, North Carolina and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through January 27, 2028 and lists Annette Crouse, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1194361923
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameWILMINGTON FAMILY PRACTICE PLLC
Location Address3971 BUSINESS 17 EBolivia, NC 28422-8675
Mailing Address3971 Business 17 EBolivia, NC 28422-8675 · (910) 500-6451 · Fax (910) 500-6458
Phone(910) 500-6451
Fax(910) 500-6458
Organization SubpartNo
Authorized OfficialAnnette CrouseOffice Manager · (910) 500-6451
Enumeration DateNovember 27, 2019
Last NPPES UpdateDecember 12, 20244 updates tracked since enumeration
NPPES CertifiedDecember 12, 2024
✔ NPI 1194361923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X
Also ListedNurse PractitionerTaxonomy 363L00000X
3971 BUSINESS 17 E, Bolivia, NC 28422
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Other Names 2

Doing Business AsCenter For Quality Care
Doing Business AsWilmington Family Practice

Other Identifiers 3

Other1669918223NC · Npi
Medicaid1821295668NC
Medicaid1992351910NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 34D2178171

Wilmington Family Practice · Bolivia, NC
Active · expires Jan 27, 2028
CLIA Number34D2178171
Laboratory TypePhysician Office
Certificate Effective DateJanuary 28, 2026
Certificate Expiration DateJanuary 27, 2028
Laboratory DirectorEdward Mckeithan
Laboratory Phone(910) 500-6451
Laboratory LocationWilmington Family Practice3971 Business 17 East,, Bolivia, NC 28422
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMP SERV HEALTH RESOURCES NORTH CAROLINA
In Home Supportive Care
3971 BUSINESS 17 E
BOLIVIA, NC 28422
Brunswick County (888) 751-3730
LAUREN NOLAN
Nurse Practitioner (Family)
3971 BUSINESS 17 E
BOLIVIA, NC 28422
Brunswick County (910) 500-6451
EDWARD MARVIN MCKEITHAN NP
Nurse Practitioner (Family)
3971 BUSINESS 17 E
BOLIVIA, NC 28422
Brunswick County (910) 500-6451

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 Wilmington Family Practice PLLC's NPI number?

The NPI number for Wilmington Family Practice PLLC is 1194361923. It was assigned to this organization in the NPPES registry on November 27, 2019. The provider is doing business as Center For Quality Care and Wilmington Family Practice.

Where is Wilmington Family Practice PLLC located?

Wilmington Family Practice PLLC is located at 3971 Business 17 E, Bolivia, NC 28422. The listed phone number is (910) 500-6451.

What is Wilmington Family Practice PLLC's specialty?

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

Does Wilmington Family Practice PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2178171) is associated with this NPI, valid through January 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wilmington Family Practice PLLC was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.