MT OLIVE FAMILY MEDICINE CENTER INC
NPI 1467481762
Family Medicine in Mount Olive, NC
About Mt Olive Family Medicine Center Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MT OLIVE FAMILY MEDICINE CENTER INC (NPI 1467481762) is a healthcare organization registered as a family medicine in Mount Olive, North Carolina and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through October 31, 2026 and lists Carol Dunn Dilda, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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)
Mt Olive Family Medicine Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Mt Olive Family Medicine Center Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (13)
Goldsboro, NC 27534
Mount Olive, NC 28365
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 34D0695267
Mount Olive Family Medicine Center, Inc · Mount Olive, NCFrequently 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 Mt Olive Family Medicine Center Inc's NPI number?
The NPI number for Mt Olive Family Medicine Center Inc is 1467481762. It was assigned to this organization in the NPPES registry on July 1, 2006.
Where is Mt Olive Family Medicine Center Inc located?
Mt Olive Family Medicine Center Inc is located at 201 N Breazeale Ave, Mount Olive, NC 28365. The listed phone number is (919) 658-4954.
What is Mt Olive Family Medicine Center Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mt Olive Family Medicine Center Inc enrolled in Medicare?
Yes. Mt Olive Family Medicine Center Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mt Olive Family Medicine Center Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 5 Medicare specialties reassign their Medicare billing to Mt Olive Family Medicine Center 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. The largest specialties are Family Practice (5), Nurse Practitioner (4) and Emergency Medicine (2). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mt Olive Family Medicine Center Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D0695267) is associated with this NPI, valid through October 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Mt Olive Family Medicine Center Inc accept?
Health plans from Blue Cross and Blue Shield of NC list Mt Olive Family Medicine Center 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 Mt Olive Family Medicine Center Inc was last updated on December 18, 2012. 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.
# Mt Olive Family Medicine Center Inc · NPI 1467481762
Family Medicine organization in Mount Olive, North Carolina. Organization record, active in the CMS NPPES registry since July 1, 2006.
## Identity
- **NPI:** 1467481762 (Entity type: Organization)
- **Enumerated:** July 1, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Carol Dilda, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 201 N BREAZEALE AVE, Mount Olive, NC 28365-1603
- **Phone:** (919) 658-4954 · **Fax:** (919) 658-5754
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (5), Nurse Practitioner (4), Emergency Medicine (2); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 18, 2012
- **Other identifiers:** Medicare ID-Type Unspecified 230260A (NC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1467481762) · Data from the CMS NPPES public registry.