WILSON COMMUNITY FAMILY PRACTICE
NPI 1801143805
Clinic/Center in Wilson, NC

Active since August 08, 2012CLIA 34D2045407 · Waiver
110 BRENTWOOD CENTER LN N, WILSON, NC 27896(252) 991-5382(252) 991-5381 Get Directions Write a Review

NPPES record last updated: January 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 1, 2026, Feb 27, 2020, Feb 17, 2020 (3 updates tracked since 2020).

About Wilson Community Family Practice NPPES

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

WILSON COMMUNITY FAMILY PRACTICE (NPI 1801143805) is a healthcare organization registered as a clinic/center in Wilson, North Carolina and active in the NPI registry since August 2012. The organization holds a CLIA Waiver certificate valid through May 21, 2028 and lists Janelle Brown-taft, Owner/nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1801143805
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameWILSON COMMUNITY FAMILY PRACTICE
Location Address110 BRENTWOOD CENTER LN NWilson, NC 27896-1710
Mailing Address110 Brentwood Center Ln NWilson, NC 27896-1710 · (252) 991-5382 · Fax (252) 991-5381
Fax(252) 991-5381
Organization SubpartNo
Authorized OfficialJanelle Brown-taftOwner/nurse Practitioner · (252) 991-5382
Enumeration DateAugust 8, 2012
Last NPPES UpdateJanuary 1, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 1, 2026
✔ NPI 1801143805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in NC · 5004688
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
110 BRENTWOOD CENTER LN N, Wilson, NC 27896

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wilson Community Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Wilson Community Family Practice, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1326289034
110 BRENTWOOD CENTER LN N
Wilson, NC 27896
(252) 991-5382
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1093679730
139B N CENTER ST
Goldsboro, NC 27530
(984) 422-2681
✔ PECOS✔ Accepts Medicare26 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 of Waiver 34D2045407

Wilson Community Family Practice, PLLC · Wilson, NC
Active · expires May 21, 2028
CLIA Number34D2045407
Laboratory TypePhysician Office
Certificate Effective DateMay 22, 2026
Certificate Expiration DateMay 21, 2028
Laboratory DirectorJanelle Brown-Taft
Laboratory Phone(252) 991-5382
Laboratory LocationWilson Community Family Practice, PLLC110 Brentwood Center Lane N, Wilson, NC 27896
CLIA data matches this NPI record on: Address 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 Wilson Community Family Practice's NPI number?

The NPI number for Wilson Community Family Practice is 1801143805. It was assigned to this organization in the NPPES registry on August 8, 2012.

Where is Wilson Community Family Practice located?

Wilson Community Family Practice is located at 110 Brentwood Center Ln N, Wilson, NC 27896. The listed phone number is (252) 991-5382.

What is Wilson Community Family Practice's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Wilson Community Family Practice enrolled in Medicare?

Yes. Wilson Community Family Practice is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wilson Community Family Practice?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Wilson Community Family Practice. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wilson Community Family Practice hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2045407) is associated with this NPI, valid through May 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wilson Community Family Practice accept?

Health plans from Blue Cross and Blue Shield of NC list Wilson Community Family Practice 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 Wilson Community Family Practice was last updated on January 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.