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GOLDSBORO PSYCHIATRIC CLINIC PA
NPI 1790810562
Psychiatry & Neurology - Psychiatry in Goldsboro, NC

Active since February 22, 2007
1506 WAYNE MEMORIAL DR, SUITE H, GOLDSBORO, NC 27534(919) 736-4722(919) 734-3442 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Goldsboro Psychiatric Clinic Pa NPPES

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

GOLDSBORO PSYCHIATRIC CLINIC PA (NPI 1790810562) is a healthcare organization registered as a psychiatry in Goldsboro, North Carolina and active in the NPI registry since February 2007. The organization lists Edwin William Hoeper, President, as its authorized official.

NPPES Registry Identity

NPI1790810562
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameGOLDSBORO PSYCHIATRIC CLINIC PA
Location Address1506 WAYNE MEMORIAL DR, SUITE HGoldsboro, NC 27534-2202
Mailing Address1506 Wayne Memorial Dr, Suite HGoldsboro, NC 27534-2202 · (919) 736-4722 · Fax (919) 734-3442
Phone(919) 736-4722
Fax(919) 734-3442
Organization SubpartNo
Authorized OfficialEdwin William HoeperPresident · (919) 736-4722
Enumeration DateFebruary 22, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1790810562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1506 WAYNE MEMORIAL DR, Goldsboro, NC 27534
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Other Identifiers 1

Other014ENC · Blue Cross Blue Shield

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)

Goldsboro Psychiatric Clinic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Goldsboro Psychiatric Clinic PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Edwin Hoeper, MD
Psychiatry
NPI 1962537712
1506 WAYNE MEMORIAL DR SUITE H
Goldsboro, NC 27534
(919) 736-4722
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Psychiatric Clinic PA's NPI number?

The NPI number for Goldsboro Psychiatric Clinic PA is 1790810562. It was assigned to this organization in the NPPES registry on February 22, 2007.

Where is Goldsboro Psychiatric Clinic PA located?

Goldsboro Psychiatric Clinic PA is located at 1506 Wayne Memorial Dr Suite H, Goldsboro, NC 27534. The listed phone number is (919) 736-4722.

What is Goldsboro Psychiatric Clinic PA's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Goldsboro Psychiatric Clinic PA enrolled in Medicare?

Yes. Goldsboro Psychiatric Clinic PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Goldsboro Psychiatric Clinic PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Goldsboro Psychiatric Clinic 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Goldsboro Psychiatric Clinic PA was last updated on August 22, 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.