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GREENVILLE FAMILY DOCTORS, PA
NPI 1629129119
Family Medicine in Greenville, NC

Active since January 13, 2007CLIA 34D0241985 · Microscopy
800 MOYE BLVD STE A, GREENVILLE, NC 27834(252) 752-7133(252) 752-6120 Get Directions Write a Review

NPPES record last updated: May 4, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Greenville Family Doctors, Pa NPPES

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

GREENVILLE FAMILY DOCTORS, PA (NPI 1629129119) is a healthcare organization registered as a family medicine in Greenville, North Carolina and active in the NPI registry since January 2007. The organization holds a CLIA Microscopy certificate valid through November 9, 2027 and lists Quentin Alexander Mewborn, President, as its authorized official.

NPPES Registry Identity

NPI1629129119
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGREENVILLE FAMILY DOCTORS, PA
Location Address800 MOYE BLVD STE AGreenville, NC 27834-3777
Mailing Address800 Moye Blvd Ste AGreenville, NC 27834-3777 · (252) 752-7133 · Fax (252) 752-6120
Phone(252) 752-7133
Fax(252) 752-6120
Organization SubpartNo
Authorized OfficialQuentin Alexander MewbornPresident · (252) 752-7133
Enumeration DateJanuary 13, 2007
Last NPPES UpdateMay 4, 2020
NPPES CertifiedMay 4, 2020
✔ NPI 1629129119 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.
800 MOYE BLVD STE A, Greenville, NC 27834
Open in Google Maps ↗

Other Identifiers 2

Other230285NC · Medicare Ptan
Medicaid8901678NC

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Greenville Family Doctors, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Greenville Family Doctors, PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Bradley Jones, FNP
Nurse Practitioner
NPI 1568155018
800 MOYE BLVD STE A
Greenville, NC 27834
(252) 752-7133
✔ PECOS✔ Accepts MedicareSame address
Brianna Jones, NP
Nurse Practitioner
NPI 1760225908
800 MOYE BLVD
Greenville, NC 27834
(252) 752-7133
✔ PECOS✔ Accepts MedicareSame address
Gerald Wiggs, MSN, FNP-C
Nurse Practitioner
NPI 1881169662
GREENVILLE FAMILY DOCTORS - 800 MOYE BLVD. SUITE A
Greenville, NC 27834
(252) 752-7133
✔ PECOSSame address
Gonzalo Becerra, M.D.
Family Practice
NPI 1750518106
2210 HEMBY LN STE 105
Greenville, NC 27834
(252) 752-7133
✔ PECOS0.1 mi
Phillip Covington, FNP
Nurse Practitioner
NPI 1720139215
2210 HEMBY LANE SUITE 105
Greenville, NC 27834
(252) 752-7133
✔ PECOS0.1 mi
Quentin Mewborn, MD
Family Practice
NPI 1831240308
2210 HEMBY LN SUITE 105
Greenville, NC 27834
(252) 752-7133
✔ PECOS✔ Accepts Medicare0.1 mi
Kenzie Midgette Davis, MSN, AGNP-BC
Nurse Practitioner
NPI 1578136859
GREENVILLE FAMILY DOCTORS 800 MOYE DR SUITE A
Greenville, NC 27834
(252) 752-7133
✔ PECOS4.4 mi

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) 34D0241985

Greenville Family Doctors, PA · Greenville, NC
Active · expires Nov 9, 2027
CLIA Number34D0241985
Laboratory TypePhysician Office
Certificate Effective DateNovember 10, 2025
Certificate Expiration DateNovember 9, 2027
Laboratory DirectorQuentin A. Mewborn Jr
Laboratory Phone(252) 752-7133
Laboratory LocationGreenville Family Doctors, PA800 Move Blvd, Suite A, Greenville, NC 27834
CLIA data matches this NPI record on: 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.

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 Greenville Family Doctors, PA's NPI number?

The NPI number for Greenville Family Doctors, PA is 1629129119. It was assigned to this organization in the NPPES registry on January 13, 2007.

Where is Greenville Family Doctors, PA located?

Greenville Family Doctors, PA is located at 800 Moye Blvd Ste A, Greenville, NC 27834. The listed phone number is (252) 752-7133.

What is Greenville Family Doctors, PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Greenville Family Doctors, PA enrolled in Medicare?

Yes. Greenville Family Doctors, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Greenville Family Doctors, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Greenville Family Doctors, PA. 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 (5) and Family Practice (2). Of these, 3 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Greenville Family Doctors, PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D0241985) is associated with this NPI, valid through November 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 Greenville Family Doctors, PA was last updated on May 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.