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WINTERGREEN MEDICAL CENTER, PLLC
NPI 1225238009
Clinic/Center in Winterville, NC

Active since July 20, 2007CLIA 34D1073435 · Microscopy
324A BEACON DR, WINTERVILLE, NC 28590(252) 551-5595(252) 321-7762 Get Directions Write a Review

NPPES record last updated: February 18, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Wintergreen Medical Center, Pllc NPPES

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

WINTERGREEN MEDICAL CENTER, PLLC (NPI 1225238009) is a healthcare organization registered as a clinic/center in Winterville, North Carolina and active in the NPI registry since July 2007. The organization holds a CLIA Microscopy certificate valid through September 9, 2027 and lists Leland Calvin Ellis, Owner, as its authorized official.

NPPES Registry Identity

NPI1225238009
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameWINTERGREEN MEDICAL CENTER, PLLC
Location Address324A BEACON DRWinterville, NC 28590-7956
Mailing Address324-a Beacon DrWinterville, NC 28590-7956 · (252) 551-5595 · Fax (252) 321-7762
Phone(252) 551-5595
Fax(252) 321-7762
Organization SubpartYes
Authorized OfficialLeland Calvin EllisOwner · (252) 551-5595
Enumeration DateJuly 20, 2007
Last NPPES UpdateFebruary 18, 2016
✔ NPI 1225238009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in NC · 141455
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
324A BEACON DR, Winterville, NC 28590
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Other Identifiers 2

Medicare PIN232195NC
Medicaid8976432NC

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 for Provider-Performed Microscopy Procedures (PPMP) 34D1073435

Wintergreen Medical Center · Winterville, NC
Active · expires Sep 9, 2027
CLIA Number34D1073435
Laboratory TypePhysician Office
Certificate Effective DateSeptember 10, 2025
Certificate Expiration DateSeptember 9, 2027
Laboratory DirectorGary C. Jones
Laboratory Phone(252) 551-5595
Laboratory LocationWintergreen Medical Center324 A Beacon Drive, Winterville, NC 28590
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

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

NADIAH MAHMOUD FNP
Nurse Practitioner (Family)
324A BEACON DR
WINTERVILLE, NC 28590
Pitt County (252) 551-5595
MR. LELAND CALVIN ELLIS JR. PA-C
Physician Assistant (Medical)
324A BEACON DR
WINTERVILLE, NC 28590
Pitt County (252) 551-5595
LESLIE C SEXTON PA-C
Physician Assistant (Medical)
324A BEACON DR
WINTERVILLE, NC 28590
Pitt County (252) 551-5595
DR. MARSHALL CRAIG SIMPSON M.D.
Family Medicine
324A BEACON DR
WINTERVILLE, NC 28590
Pitt County (252) 551-5595

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 Wintergreen Medical Center, PLLC's NPI number?

The NPI number for Wintergreen Medical Center, PLLC is 1225238009. It was assigned to this organization in the NPPES registry on July 20, 2007.

Where is Wintergreen Medical Center, PLLC located?

Wintergreen Medical Center, PLLC is located at 324A Beacon Dr, Winterville, NC 28590. The listed phone number is (252) 551-5595.

What is Wintergreen Medical Center, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Wintergreen Medical Center, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D1073435) is associated with this NPI, valid through September 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wintergreen Medical Center, PLLC was last updated on February 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.