SAMUEL CARTER WELBORN MD
NPI 1619677069
General Practice in Fort Liberty, NC
About Samuel Carter Welborn Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL CARTER WELBORN MD (NPI 1619677069) is an individual general practice provider in Fort Liberty, North Carolina, licensed in Virginia (0101284363) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samuel Carter Welborn Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT BRAGG, NC 28310
FORT BRAGG, NC 28310
FORT BRAGG, NC 28310
FORT BRAGG, NC 28310
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 Samuel Welborn's NPI number?
The NPI number for Samuel Welborn is 1619677069. It was assigned to this individual provider in the NPPES registry on March 6, 2023.
Where is Samuel Welborn located?
Samuel Welborn practices at 2817 Rock Merritt Ave, Fort Liberty, NC 28310. The listed phone number is (440) 742-1674.
What is Samuel Welborn's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Samuel Welborn enrolled in Medicare?
Yes. Samuel Welborn is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Samuel Welborn was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Samuel Carter Welborn, MD · NPI 1619677069
General Practice physician in Fort Liberty, North Carolina. Individual provider, active in the CMS NPPES registry since March 6, 2023.
## Identity
- **NPI:** 1619677069 (Entity type: Individual)
- **Enumerated:** March 6, 2023
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 0101284363 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2817 ROCK MERRITT AVE, Fort Liberty, NC 28310-0001
- **Phone:** (440) 742-1674
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** November 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1619677069) · Data from the CMS NPPES public registry.