GOSHEN MEDICAL CENTER - RAEFORD
NPI 1285291211
Clinic/Center - Federally Qualified Health Center (FQHC) in Raeford, NC

Active since May 24, 2019CLIA 34D2171458 · Microscopy
102 W SOUTHERN AVE, RAEFORD, NC 28376(910) 565-5110(910) 321-8779 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 6, 2021, May 24, 2019 (2 updates tracked since 2019).

About Goshen Medical Center - Raeford NPPES

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

GOSHEN MEDICAL CENTER - RAEFORD (NPI 1285291211) is a healthcare organization registered as a federally qualified health center (fqhc) in Raeford, North Carolina and active in the NPI registry since May 2019. The organization holds a CLIA Microscopy certificate valid through August 29, 2027 and lists Gregory M Bounds, Ceo, as its authorized official.

NPPES Registry Identity

NPI1285291211
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameGOSHEN MEDICAL CENTER INCORPORATED
Location Address102 W SOUTHERN AVERaeford, NC 28376-3218
Mailing AddressPo Box 187Faison, NC 28341-0187 · (910) 267-0421 · Fax (910) 267-0441
Fax(910) 321-8779
Organization SubpartNo
Authorized OfficialGregory M BoundsCeo · (910) 267-1237
Enumeration DateMay 24, 2019
Last NPPES UpdateOctober 6, 20212 updates tracked since enumeration
NPPES CertifiedOctober 6, 2021
✔ NPI 1285291211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
102 W SOUTHERN AVE, Raeford, NC 28376

Other Names 1

Doing Business AsGoshen Medical Center - Raeford

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Goshen Medical Center - Raeford is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNorth CarolinaEnrollment IDO20040102000726Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

173

Medicare enrollment records show 173 clinicians reassign Medicare billing to Goshen Medical Center - Raeford, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Nurse Practitioner128
Family Practice17
Dentist8
Internal Medicine8
Clinical Social Worker6
General Practice3
Pediatric Medicine2
Emergency Medicine1

Nearest to this location (20)

See all 173
Nurse Practitioner
NPI 1356816854
102 W SOUTHERN AVE
Raeford, NC 28376
(910) 248-4600
✔ PECOSSame address
Nurse Practitioner
NPI 1326665142
24420 MARLBORO ST
Wagram, NC 28396
(910) 369-3136
✔ PECOS✔ Accepts Medicare10.0 mi
Nurse Practitioner
NPI 1568195030
7300 S RAEFORD RD
Fayetteville, NC 28304
(910) 488-2120
✔ PECOS12 mi
Nurse Practitioner
NPI 1447867148
3186 VILLAGE DR STE 201
Fayetteville, NC 28304
(910) 486-5700
✔ PECOS17 mi
Nurse Practitioner
NPI 1871163626
1001 W DR MLK JR DR
Maxton, NC 28364
(910) 844-4077
✔ PECOS18 mi
Nurse Practitioner
NPI 1558817072
1463 PAMALEE DR
Fayetteville, NC 28303
(910) 482-3000
✔ PECOS✔ Accepts Medicare19 mi
Family Practice
NPI 1376547356
1248 FORT BRAGG RD SUITE 200
Fayetteville, NC 28305
(910) 486-6818
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1952983785
1248 FORT BRAGG RD
Fayetteville, NC 28305
(910) 486-6818
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1326845488
911 HAY ST
Fayetteville, NC 28305
(910) 486-6818
✔ PECOS✔ Accepts Medicare20 mi
Internal Medicine
NPI 1861683260
500 LAUCHWOOD DR
Laurinburg, NC 28352
(910) 291-6904
✔ PECOS20 mi
Nurse Practitioner
NPI 1316701394
515 LAUCHWOOD DR
Laurinburg, NC 28352
(910) 687-4888
✔ PECOS21 mi
Nurse Practitioner
NPI 1376199125
15 REGIONAL DR
Pinehurst, NC 28374
(910) 255-4400
✔ PECOS✔ Accepts Medicare21 mi
Family Practice
NPI 1932281987
1496 JUNIPER LAKE ROAD
West End, NC 27376
(910) 331-5623
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1467823179
6650 RAMSEY ST
Fayetteville, NC 28311
(910) 630-5203
✔ PECOS✔ Accepts Medicare25 mi
Family Practice
NPI 1457416778
402 N PINE ST
Lumberton, NC 28358
(910) 739-1666
✔ PECOS✔ Accepts Medicare27 mi
Dentist
NPI 1689510976
908 N US HIGHWAY 421
Clinton, NC 28328
(910) 299-0991
✔ PECOS50 mi
General Practice
NPI 1285683524
1130 KILDAIRE FARM RD SUITE 220
Cary, NC 27511
(919) 316-9742
✔ PECOS60 mi
Internal Medicine
NPI 1073684015
444 SW CENTER ST.
Faison, NC 28341
(910) 267-0421
✔ PECOS✔ Accepts Medicare62 mi
Clinical Social Worker
NPI 1275939738
2530 MERIDIAN PKWY STE 115
Durham, NC 27713
(704) 360-3637
✔ PECOS✔ Accepts Medicare67 mi
Emergency Medicine
NPI 1013912229
2215 CANTERWOOD DR
Wilmington, NC 28401
(910) 762-4600
✔ PECOS91 mi
See all 173 clinicians

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 for Provider-Performed Microscopy Procedures (PPMP) 34D2171458

Goshen Medical Center - Raeford · Raeford, NC
Active · expires Aug 29, 2027
CLIA Number34D2171458
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateAugust 30, 2025
Certificate Expiration DateAugust 29, 2027
Laboratory DirectorCarl Danny Pate
Laboratory Phone(910) 248-4600
Laboratory LocationGoshen Medical Center - Raeford102 W Southern Avenue, Raeford, NC 28376
CLIA data matches this NPI record on: Address Name
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.

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 Goshen Medical Center Incorporated's NPI number?

The NPI number for Goshen Medical Center Incorporated is 1285291211. It was assigned to this organization in the NPPES registry on May 24, 2019. The provider is doing business as Goshen Medical Center - Raeford.

Where is Goshen Medical Center Incorporated located?

Goshen Medical Center Incorporated is located at 102 W Southern Ave, Raeford, NC 28376. The listed phone number is (910) 565-5110.

What is Goshen Medical Center Incorporated's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Goshen Medical Center Incorporated enrolled in Medicare?

Yes. Goshen Medical Center Incorporated is registered in the Medicare PECOS enrollment system.

When is Goshen Medical Center Incorporated's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Goshen Medical Center Incorporated?

According to the CMS Revalidation Reassignment List (October 2026 release), 173 clinicians in 8 Medicare specialties reassign their Medicare billing to Goshen Medical Center Incorporated. 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 Nurse Practitioner (128), Family Practice (17) and Dentist (8). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Goshen Medical Center Incorporated hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D2171458) is associated with this NPI, valid through August 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Goshen Medical Center Incorporated accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Cigna Healthcare list Goshen Medical Center Incorporated 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 Goshen Medical Center Incorporated was last updated on October 6, 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.