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MT OLIVE FAMILY MEDICINE CENTER INC
NPI 1467481762
Family Medicine in Mount Olive, NC

Active since July 01, 2006CLIA 34D0695267 · Waiver
201 N BREAZEALE AVE, MOUNT OLIVE, NC 28365(919) 658-4954(919) 658-5754 Get Directions Write a Review

NPPES record last updated: December 18, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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

NPI1467481762
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMT OLIVE FAMILY MEDICINE CENTER INC
Location Address201 N BREAZEALE AVEMount Olive, NC 28365-1603
Mailing Address201 N Breazeale AveMount Olive, NC 28365-1603 · (919) 658-4954 · Fax (919) 658-5754
Phone(919) 658-4954
Fax(919) 658-5754
Organization SubpartNo
Authorized OfficialCarol Dunn DildaExecutive Director · (919) 581-4960
Enumeration DateJuly 1, 2006
Last NPPES UpdateDecember 18, 2012
✔ NPI 1467481762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
201 N BREAZEALE AVE, Mount Olive, NC 28365
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Other Identifiers 1

Medicare ID-Type Unspecified230260ANC · Family Practice

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 ›

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, NC
Active · expires Oct 31, 2026
CLIA Number34D0695267
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2024
Certificate Expiration DateOctober 31, 2026
Laboratory DirectorMr. Thomas Scott Draughon
Laboratory Phone(919) 658-4954
Laboratory LocationMount Olive Family Medicine Center, Inc201 North Breazeale Avenue, Mount Olive, NC 28365
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

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

MRS. STACEY M HILL PA-C
Physician Assistant
201 N BREAZEALE AVE
MT OLIVE, NC 28365
Wayne County (919) 658-4954
DR. ASHLEY SWEENEY LONG PHD, LAT, ATC
Specialist/Technologist (Athletic Trainer)
201 N BREAZEALE AVE
MOUNT OLIVE, NC 28365
Wayne County (828) 896-7803
MISTY LYNN ROUSE PA-C
Physician Assistant
201 N BREAZEALE AVE
MOUNT OLIVE, NC 28365
Wayne County (919) 658-4954
JEFFREY G HARRISON PA-C
Physician Assistant (Medical)
201 N BREAZEALE AVE
MOUNT OLIVE, NC 28365
Wayne County (919) 658-4954
PEGGIE ROSE PARKS PA-C
Physician Assistant
201 N BREAZEALE AVE
MOUNT OLIVE, NC 28365
Wayne County (919) 658-4954
REBECCA LAVERICK LAT ATC
Specialist/Technologist (Athletic Trainer)
201 N BREAZEALE AVE
MOUNT OLIVE, NC 28365
Wayne County (919) 658-4954
THOMAS SCOTT DRAUGHON M.D.
Family Medicine
201 N BREAZEALE AVE
MOUNT OLIVE, NC 28365
Wayne County (919) 658-4954
BELINDA HIDALGO ESTRELLA FNP-C
Nurse Practitioner (Family)
201 N BREAZEALE AVE
MOUNT OLIVE, NC 28365
Wayne County (919) 658-4954

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 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.

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.