HOMETOWN MED OF MOYOCK AND OBX PLLC
NPI 1750021325
Nurse Practitioner - Primary Care in Moyock, NC

Q: What is Hometown Med Of Moyock And Obx PLLC's NPI number?

The NPI number for Hometown Med Of Moyock And Obx PLLC is 1750021325. It was assigned to this organization in the NPPES registry on March 31, 2022.

Q: What is Hometown Med Of Moyock And Obx PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since March 31, 2022CLIA 34D2263381 · Waiver

109 CURRITUCK COMMERICAL DR STE A, MOYOCK, NC 27958(252) 772-1110(252) 319-3678 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 8, 2023, Aug 2, 2022, Apr 30, 2022 (3 updates tracked since 2022).

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About Hometown Med Of Moyock And Obx Pllc NPPES

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

HOMETOWN MED OF MOYOCK AND OBX PLLC (NPI 1750021325) is a healthcare organization registered as a primary care in Moyock, North Carolina and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through June 27, 2028 and lists Carmen M Wynes, Owner, as its authorized official.

NPPES Registry Identity

NPI1750021325

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NameHOMETOWN MED OF MOYOCK AND OBX PLLC

Location Address109 CURRITUCK COMMERICAL DR STE AMoyock, NC 27958-9068

Mailing Address109 Currituck Commerical Dr Ste AMoyock, NC 27958-9068 · (252) 772-1110 · Fax (252) 319-3678

Phone(252) 772-1110

Fax(252) 319-3678

Organization SubpartNo

Authorized OfficialCarmen M WynesOwner · (252) 772-1110

Enumeration DateMarch 31, 2022

Last NPPES UpdateApril 26, 20233 updates tracked since enumeration

NPPES CertifiedApril 26, 2023

✔ NPI 1750021325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

109 CURRITUCK COMMERICAL DR STE A, Moyock, NC 27958

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Other Names 1

Doing Business AsHometown Med Of Moyock And Obx Pllc

Other Identifiers 2

Medicaid1073000816VA

Medicaid1750021325NC

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 MULTIPLE SINGLE SPECIALTY GROUP

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 34D2263381

Hometown Med Of Moyock And Obx PLLC · Moyock, NC

Active · expires Jun 27, 2028

CLIA Number34D2263381

Laboratory TypePhysician Office

Certificate Effective DateJune 28, 2026

Certificate Expiration DateJune 27, 2028

Laboratory DirectorCarmen M. Wynes

Laboratory Phone(757) 633-7143

Laboratory LocationHometown Med Of Moyock And Obx PLLC109 Currituck Commercial Drive Suite A, Moyock, NC 27958

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only 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 Hometown Med Of Moyock And Obx PLLC's NPI number?

The NPI number for Hometown Med Of Moyock And Obx PLLC is 1750021325. It was assigned to this organization in the NPPES registry on March 31, 2022.

Where is Hometown Med Of Moyock And Obx PLLC located?

Hometown Med Of Moyock And Obx PLLC is located at 109 Currituck Commerical Dr Ste A, Moyock, NC 27958. The listed phone number is (252) 772-1110.

What is Hometown Med Of Moyock And Obx PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Hometown Med Of Moyock And Obx PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2263381) is associated with this NPI, valid through June 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hometown Med Of Moyock And Obx PLLC was last updated on April 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.