GOLDSBORO MEDICAL SPECIALISTS PA
NPI 1770552069
Clinic/Center - Medical Specialty in Goldsboro, NC

Q: What is Goldsboro Medical Specialists PA's NPI number?

The NPI number for Goldsboro Medical Specialists PA is 1770552069. It was assigned to this organization in the NPPES registry on March 17, 2006.

Q: What is Goldsboro Medical Specialists PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since March 17, 2006

201 COX BLVD, GOLDSBORO, NC 27534(919) 734-9455(919) 734-4769 Get Directions Write a Review

NPPES record last updated: August 12, 2010. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Goldsboro Medical Specialists Pa NPPES

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

GOLDSBORO MEDICAL SPECIALISTS PA (NPI 1770552069) is a healthcare organization registered as a medical specialty in Goldsboro, North Carolina and active in the NPI registry since March 2006. The organization lists William James Stackhouse, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1770552069

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameGOLDSBORO MEDICAL SPECIALISTS PA

Location Address201 COX BLVDGoldsboro, NC 27534-9479

Mailing Address201 Cox BlvdGoldsboro, NC 27534-9479 · (919) 734-9455 · Fax (919) 734-4769

Phone(919) 734-9455

Fax(919) 734-4769

Organization SubpartNo

Authorized OfficialWilliam James StackhouseManaging Partner · (919) 734-9455

Enumeration DateMarch 17, 2006

Last NPPES UpdateAugust 12, 2010

✔ NPI 1770552069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

201 COX BLVD, Goldsboro, NC 27534

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Other Identifiers 4

Medicare ID-Type UnspecifiedG1383NCNC

Medicaid8901643NC

Other01643NC · Blue Cr Oss

Medicare PIN0673NC

Other Providers at the Same Location NPPES

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

LEONARDO MONTUYA ZARA MD

Internal Medicine

201 COX BLVD
GOLDSBORO, NC 27534

Wayne County (919) 735-7580

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 Goldsboro Medical Specialists PA's NPI number?

The NPI number for Goldsboro Medical Specialists PA is 1770552069. It was assigned to this organization in the NPPES registry on March 17, 2006.

Where is Goldsboro Medical Specialists PA located?

Goldsboro Medical Specialists PA is located at 201 Cox Blvd, Goldsboro, NC 27534. The listed phone number is (919) 734-9455.

What is Goldsboro Medical Specialists PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Goldsboro Medical Specialists PA was last updated on August 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.