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GOLDSBORO MEDICAL CLINIC
NPI 1851627780
Non-Pharmacy Dispensing Site in Goldsboro, NC

Active since October 28, 2009
2400 WAYNE MEMORIAL DR, SUITE 1, GOLDSBORO, NC 27534(919) 739-9060 Get Directions Write a Review

NPPES record last updated: October 23, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Non-Pharmacy Dispensing Site

About GOLDSBORO MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Goldsboro Medical Clinic, a provider established in Goldsboro, North Carolina operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1851627780 assigned on October 2009. The practitioner's primary taxonomy code is 332900000X with license number 9600773 (NC). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Kenny Heine (Director Of Operations)

NPI
1851627780 Verify this NPI
Provider Name
GOLDSBORO MEDICAL CLINIC
Entity Type
Organization
Location Address
2400 WAYNE MEMORIAL DR SUITE 1 GOLDSBORO, NC 27534
Location Phone
(919) 739-9060
Mailing Address
5626 OBERLIN DR SUITE 110 SAN DIEGO, CA 92121
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-28-2009
Last Update Date
10-23-2012
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
License No.
9600773
License State
NC
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KENNY HEINE

Authorized Official Title
DIRECTOR OF OPERATIONS
Authorized Official Phone
(858) 625-2990

Reviews for GOLDSBORO MEDICAL CLINIC

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Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

MEADOWS LUTCAVAGE SMITH VINTON FIDLER & LONG DDS PA
Dentist (Oral and Maxillofacial Surgery)
2400 WAYNE MEMORIAL DR, SUITE K
GOLDSBORO, NC 27534
Wayne County (919) 736-2082
DR. GREGORY J LUTCAVAGE D.D.S.
Dentist (Oral and Maxillofacial Surgery)
2400 WAYNE MEMORIAL DR, SUITE K
GOLDSBORO, NC 27534
Wayne County (919) 736-2082
DR. JOHN E FIDLER JR. D.D.S.
Dentist (Oral and Maxillofacial Surgery)
2400 WAYNE MEMORIAL DR, SUITE K
GOLDSBORO, NC 27534
Wayne County (919) 736-2082
DR. FREDERICK L NANCE III D.D.S., M.S.
Dentist (Oral and Maxillofacial Surgery)
2400 WAYNE MEMORIAL DR, SUITE K
GOLDSBORO, NC 27534
Wayne County (919) 736-2082
CHRISTOPHER D. BOYLE
Psychologist (Clinical)
2400 WAYNE MEMORIAL DR, SUITE E
GOLDSBORO, NC 27534
Wayne County (919) 736-7900
MRS. PAULA HILL IVEY FNP-C
Nurse Practitioner (Family)
2400 WAYNE MEMORIAL DR, SUITE A
GOLDSBORO, NC 27534
Wayne County (919) 734-0033
GOLDSBORO MEDICAL CENTER, P.A.
Internal Medicine
2400 WAYNE MEMORIAL DR, SUITE J
GOLDSBORO, NC 27534
Wayne County (919) 739-9599
WAYNESBOROUGH PSYCHOLOGICAL SERVICES
Psychologist
2400 WAYNE MEMORIAL DR, SUITE E
GOLDSBORO, NC 27534
Wayne County (919) 736-7900
SWACK MEDICAL ASSOCIATES
Internal Medicine
2400 WAYNE MEMORIAL DR, SUITE C
GOLDSBORO, NC 27534
Wayne County (724) 691-7912
BENJAMIN D ESKRA M.D.
Plastic Surgery
2400 WAYNE MEMORIAL DR, SUITE B
GOLDSBORO, NC 27534
Wayne County (919) 587-4400
WAYNE HEALTH PHYSICIANS
Clinic/Center
2400 WAYNE MEMORIAL DR, SUITE J
GOLDSBORO, NC 27534
Wayne County (919) 587-4081
GOLDSBORO MEDICAL CLINIC PA
Internal Medicine
2400 WAYNE MEMORIAL DR, STE I
GOLDSBORO, NC 27534
Wayne County (919) 739-9060
MR. JAMIE RYAN HAM NP-C
Nurse Practitioner (Family)
2400 WAYNE MEMORIAL DR, SUITE I
GOLDSBORO, NC 27534
Wayne County (919) 739-9060
CHRISTINE KABANGA ILUNGA M.D.
Internal Medicine (Nephrology)
2400 WAYNE MEMORIAL DR, SUITE D
GOLDSBORO, NC 27534
Wayne County (919) 734-0909
HANNAH LINDSAY BLACK
Advanced Practice Midwife
2400 WAYNE MEMORIAL DR
GOLDSBORO, NC 27534
Wayne County (919) 587-3980

Frequently Asked Questions

What is GOLDSBORO MEDICAL CLINIC's NPI number?

The NPI number assigned to this healthcare provider is 1851627780, enumerated as an "organization" on October 28, 2009.

Where is the provider located?

The provider is located at 2400 WAYNE MEMORIAL DR SUITE 1 GOLDSBORO, NC 27534 and the phone number is (919) 739-9060.

What is the provider's specialty?

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.