GOSHEN MEDICAL CENTER - DUNN
NPI 1780193557
Clinic/Center - Federally Qualified Health Center (FQHC) in Dunn, NC

Active since September 25, 2017CLIA 34D0868477 · Waiver
801 TILGHMAN DR STE A, DUNN, NC 28334(910) 892-6500(910) 302-5897 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 16, 2024, Oct 6, 2021 (2 updates tracked since 2021).

About Goshen Medical Center - Dunn NPPES

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

GOSHEN MEDICAL CENTER - DUNN (NPI 1780193557) is a healthcare organization registered as a federally qualified health center (fqhc) in Dunn, North Carolina and active in the NPI registry since September 2017. The organization holds a CLIA Waiver certificate valid through January 15, 2028 and lists Greg Bounds, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780193557
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameGOSHEN MEDICAL CENTER, INC
Location Address801 TILGHMAN DR STE ADunn, NC 28334-4958
Mailing AddressPo Box 187Faison, NC 28341-0187 · (910) 267-2042
Fax(910) 302-5897
Organization SubpartNo
Authorized OfficialGreg BoundsCeo · (910) 267-2042
Enumeration DateSeptember 25, 2017
Last NPPES UpdateDecember 16, 20242 updates tracked since enumeration
NPPES CertifiedDecember 16, 2024
✔ NPI 1780193557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
801 TILGHMAN DR STE A, Dunn, NC 28334

Other Names 1

Doing Business AsGoshen Medical Center - Dunn

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Goshen Medical Center - Dunn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNorth CarolinaEnrollment IDO20040102000726Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

173

Medicare enrollment records show 173 clinicians reassign Medicare billing to Goshen Medical Center - Dunn, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Nurse Practitioner128
Family Practice17
Dentist8
Internal Medicine8
Clinical Social Worker6
General Practice3
Pediatric Medicine2
Emergency Medicine1

Nearest to this location (20)

See all 173
Nurse Practitioner
NPI 1447431424
801 TILGHMAN DR STE A
Dunn, NC 28334
(910) 892-6500
✔ PECOSSame address
Nurse Practitioner
NPI 1215071865
444 SW CENTER SREET
Faison, NC 28341
(910) 267-0421
✔ PECOS✔ Accepts Medicare2.2 mi
Nurse Practitioner
NPI 1124485883
40 AUTUMN FERN TRL
Lillington, NC 27546
(910) 364-0970
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1467823179
6650 RAMSEY ST
Fayetteville, NC 28311
(910) 630-5203
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1134580442
3551 DUNN RD
Eastover, NC 28312
(910) 483-6277
✔ PECOS17 mi
Nurse Practitioner
NPI 1558817072
1463 PAMALEE DR
Fayetteville, NC 28303
(910) 482-3000
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1689303679
910 BERKSHIRE RD
Smithfield, NC 27577
(919) 989-7909
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1326845488
911 HAY ST
Fayetteville, NC 28305
(910) 486-6818
✔ PECOS✔ Accepts Medicare23 mi
Family Practice
NPI 1376547356
1248 FORT BRAGG RD SUITE 200
Fayetteville, NC 28305
(910) 486-6818
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1952983785
1248 FORT BRAGG RD
Fayetteville, NC 28305
(910) 486-6818
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1336986892
34 HEALTHPARK WAY STE 100
Clayton, NC 27520
(919) 585-8850
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1447867148
3186 VILLAGE DR STE 201
Fayetteville, NC 28304
(910) 486-5700
✔ PECOS25 mi
Dentist
NPI 1689510976
908 N US HIGHWAY 421
Clinton, NC 28328
(910) 299-0991
✔ PECOS26 mi
Nurse Practitioner
NPI 1679895296
906 N US HIGHWAY 421
Clinton, NC 28328
(910) 592-1462
✔ PECOS26 mi
Family Practice
NPI 1629189279
120 SOUTHWOOD DR
Clinton, NC 28328
(910) 592-7981
✔ PECOS29 mi
Internal Medicine
NPI 1356682579
444 SW CENTER ST
Faison, NC 28341
(910) 267-0421
✔ PECOS✔ Accepts Medicare31 mi
Internal Medicine
NPI 1073684015
444 SW CENTER ST.
Faison, NC 28341
(910) 267-0421
✔ PECOS✔ Accepts Medicare31 mi
General Practice
NPI 1285683524
1130 KILDAIRE FARM RD SUITE 220
Cary, NC 27511
(919) 316-9742
✔ PECOS33 mi
Clinical Social Worker
NPI 1639790876
208 MALLOY ST STE B
Goldsboro, NC 27534
(984) 520-6080
✔ PECOS✔ Accepts Medicare39 mi
Emergency Medicine
NPI 1013912229
2215 CANTERWOOD DR
Wilmington, NC 28401
(910) 762-4600
✔ PECOS86 mi
See all 173 clinicians

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 of Waiver 34D0868477

Goshen Medical Center - Dunn · Dunn, NC
Active · expires Jan 15, 2028
CLIA Number34D0868477
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 16, 2026
Certificate Expiration DateJanuary 15, 2028
Laboratory DirectorGary Robinson
Laboratory Phone(910) 892-6500
Laboratory LocationGoshen Medical Center - Dunn801-A Tilghman Drive, Dunn, NC 28334
CLIA data matches this NPI record on: Name Phone
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 Goshen Medical Center, Inc's NPI number?

The NPI number for Goshen Medical Center, Inc is 1780193557. It was assigned to this organization in the NPPES registry on September 25, 2017. The provider is doing business as Goshen Medical Center - Dunn.

Where is Goshen Medical Center, Inc located?

Goshen Medical Center, Inc is located at 801 Tilghman Dr Ste A, Dunn, NC 28334. The listed phone number is (910) 892-6500.

What is Goshen Medical Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Goshen Medical Center, Inc enrolled in Medicare?

Yes. Goshen Medical Center, Inc is registered in the Medicare PECOS enrollment system.

When is Goshen Medical Center, Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Goshen Medical Center, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 173 clinicians in 8 Medicare specialties reassign their Medicare billing to Goshen Medical Center, Inc. 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 (128), Family Practice (17) and Dentist (8). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Goshen Medical Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0868477) is associated with this NPI, valid through January 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Goshen Medical Center, Inc accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Cigna Healthcare list Goshen Medical 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 Goshen Medical Center, Inc was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.