WAGRAM FAMILY PRACTICE
NPI 1891789970
Clinic/Center - Rural Health in Wagram, NC

Active since September 06, 2005CLIA 34D0655416 · Microscopy
24420 MARLBORO ST, WAGRAM, NC 28396(910) 369-3136(910) 369-4756 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 31, 2022, Nov 3, 2021, Jul 27, 2021 (3 updates tracked since 2021).

About Wagram Family Practice NPPES

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

WAGRAM FAMILY PRACTICE (NPI 1891789970) is a healthcare organization registered as a rural health in Wagram, North Carolina and active in the NPI registry since September 2005. The organization holds a CLIA Microscopy certificate valid through August 31, 2028 and lists Lucien Stonge, Cfo, as its authorized official.

NPPES Registry Identity

NPI1891789970
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSCOTLAND MEMORIAL HOSPITAL, INC
Location Address24420 MARLBORO STWagram, NC 28396-9600
Mailing Address24420 Marlboro StWagram, NC 28396-9600 · (910) 369-3136 · Fax (910) 369-4756
Fax(910) 369-4756
Organization SubpartNo
Authorized OfficialLucien StongeCfo · (910) 291-7547
Enumeration DateSeptember 6, 2005
Last NPPES UpdateAugust 31, 20223 updates tracked since enumeration
NPPES CertifiedAugust 31, 2022
✔ NPI 1891789970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
24420 MARLBORO ST, Wagram, NC 28396

Other Names 1

Doing Business AsWagram Family Practice

Other Identifiers 4

Other07171NC · Bcbs
Medicaid89018PZNC
Medicaid891261TNC
MedicaidNPB192SC

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)

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

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

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 IDO20210426002437Part A · Rural Health ClinicDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

476

Medicare enrollment records show 476 clinicians reassign Medicare billing to Wagram Family Practice, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 31

Diagnostic Radiology131
Nurse Practitioner45
Obstetrics/Gynecology43
General Surgery41
Pediatric Medicine33
Orthopedic Surgery26
Family Practice24
Urology23
23 other specialties110

Nearest to this location (20)

See all 476
Nurse Practitioner
NPI 1326665142
24420 MARLBORO ST
Wagram, NC 28396
(910) 369-3136
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1114543295
5000 LAUNCHWOOD DRIVE
Laurinburg, NC 28352
(910) 291-7000
✔ PECOS✔ Accepts Medicare4.4 mi
Nurse Practitioner
NPI 1154811693
418 S KING ST
Laurinburg, NC 28352
(910) 276-7570
✔ PECOS✔ Accepts Medicare9.6 mi
Nurse Practitioner
NPI 1073984878
821A S MAIN ST
Laurinburg, NC 28352
(910) 506-8474
✔ PECOS9.9 mi
Nurse Practitioner
NPI 1235696261
101 PLAZA RD
Laurinburg, NC 28352
(910) 276-6767
✔ PECOS✔ Accepts Medicare11 mi
Urology
NPI 1518974757
700 PROGRESS PL
Laurinburg, NC 28352
(910) 276-1702
✔ PECOS✔ Accepts Medicare11 mi
Family Practice
NPI 1780039990
700A PROGRESS PL
Laurinburg, NC 28352
(910) 276-6767
✔ PECOS11 mi
General Surgery
NPI 1669623468
500 LAUCHWOOD DR
Laurinburg, NC 28352
(910) 291-7000
✔ PECOS✔ Accepts Medicare11 mi
Emergency Medicine
NPI 1053343293
500 LAUCHWOOD DR
Laurinburg, NC 28352
(910) 291-7444
✔ PECOS✔ Accepts Medicare11 mi
Physician Assistant
NPI 1699211078
500 LAUCHWOOD DR
Laurinburg, NC 28352
(910) 277-9164
✔ PECOS✔ Accepts Medicare11 mi
Radiation Oncology
NPI 1437117744
500 E LAUCHWOOD DR SCOTLAND CANCER TREATMENT CENTER
Laurinburg, NC 28352
(910) 291-7630
✔ PECOS✔ Accepts Medicare11 mi
Obstetrics/Gynecology
NPI 1750816393
500 LAUCHWOOD DR
Laurinburg, NC 28352
(910) 291-7000
✔ PECOS✔ Accepts Medicare11 mi
Hospitalist
NPI 1285211904
500 LAUCHWOOD DR
Laurinburg, NC 28352
(910) 291-7000
✔ PECOS✔ Accepts Medicare11 mi
Clinical Social Worker
NPI 1134086382
500 LAUCHWOOD DR
Laurinburg, NC 28352
(910) 291-7000
✔ PECOS✔ Accepts Medicare11 mi
Orthopedic Surgery
NPI 1205331089
1604 MEDICAL DR
Laurinburg, NC 28352
(910) 276-4611
✔ PECOS✔ Accepts Medicare11 mi
Nephrology
NPI 1881046514
601 LAUCHWOOD DR
Laurinburg, NC 28352
(910) 504-8500
✔ PECOS✔ Accepts Medicare11 mi
Otolaryngology
NPI 1982736427
1705 BERWICK DR # B
Laurinburg, NC 28352
(910) 610-4368
✔ PECOS✔ Accepts Medicare11 mi
Qualified Audiologist
NPI 1093984569
1705 BERWICK DR STE B
Laurinburg, NC 28352
(910) 610-4368
✔ Accepts Medicare11 mi
Certified Nurse Midwife (CNM)
NPI 1962763425
105 MCALPINE LN
Laurinburg, NC 28352
(910) 610-4011
✔ PECOS✔ Accepts Medicare11 mi
Cardiovascular Disease (Cardiology)
NPI 1790984458
6322 FAYETTEVILLE RD SUITE B
Raeford, NC 28376
(910) 878-6700
✔ PECOS✔ Accepts Medicare15 mi
See all 476 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 for Provider-Performed Microscopy Procedures (PPMP) 34D0655416

Wagram Family Practice · Wagram, NC
Active · expires Aug 31, 2028
CLIA Number34D0655416
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorMatthew T. Manzo
Laboratory Phone(910) 369-3136
Laboratory LocationWagram Family Practice24420 Marlboro Street, Wagram, NC 28396
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Scotland Memorial Hospital, Inc's NPI number?

The NPI number for Scotland Memorial Hospital, Inc is 1891789970. It was assigned to this organization in the NPPES registry on September 6, 2005. The provider is doing business as Wagram Family Practice.

Where is Scotland Memorial Hospital, Inc located?

Scotland Memorial Hospital, Inc is located at 24420 Marlboro St, Wagram, NC 28396. The listed phone number is (910) 369-3136.

What is Scotland Memorial Hospital, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Scotland Memorial Hospital, Inc enrolled in Medicare?

Yes. Scotland Memorial Hospital, Inc is registered in the Medicare PECOS enrollment system.

When is Scotland Memorial Hospital, Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (North Carolina, Rural Health Clinic) is due for revalidation by January 31, 2027. 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 Scotland Memorial Hospital, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 476 clinicians in 31 Medicare specialties reassign their Medicare billing to Scotland Memorial Hospital, 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 Diagnostic Radiology (131), Nurse Practitioner (45) and Obstetrics/Gynecology (43). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Scotland Memorial Hospital, Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D0655416) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Scotland Memorial Hospital, Inc accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 2 other insurers list Scotland Memorial Hospital, 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 Scotland Memorial Hospital, Inc was last updated on August 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.