HERITAGE FAMILY HEALTH AND WELLNESS PA
NPI 1972092054
Family Medicine in Snow Hill, NC

Active since May 04, 2018CLIA 34D2162362 · Waiver
1108B KINGOLD BLVD, SNOW HILL, NC 28580(252) 524-1069 Get Directions Write a Review

NPPES record last updated: June 26, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 26, 2018, May 23, 2018, May 4, 2018 (3 updates tracked since 2018).

About Heritage Family Health And Wellness Pa NPPES

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

HERITAGE FAMILY HEALTH AND WELLNESS PA (NPI 1972092054) is a healthcare organization registered as a family medicine in Snow Hill, North Carolina and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through February 20, 2027 and lists Debra Fell, Owner, as its authorized official.

NPPES Registry Identity

NPI1972092054
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHERITAGE FAMILY HEALTH AND WELLNESS PA
Location Address1108B KINGOLD BLVDSnow Hill, NC 28580
Mailing Address2158 Hwy 58 SSnow Hill, NC 28580-7207 · (252) 524-1069
Organization SubpartNo
Authorized OfficialDebra FellOwner · (252) 747-2204
Enumeration DateMay 4, 2018
Last NPPES UpdateJune 26, 20183 updates tracked since enumeration
✔ NPI 1972092054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1108B KINGOLD BLVD, Snow Hill, NC 28580

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Heritage Family Health And Wellness Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Heritage Family Health And Wellness PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1518610831
1108B KINGOLD BLVD
Snow Hill, NC 28580
(252) 747-2204
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1326025610
190 CAROLINA DR
Snow Hill, NC 28580
(252) 747-2204
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1821957440
190 CAROLINA DR
Snow Hill, NC 28580
(252) 747-2204
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1922613215
1015 WH SMITH BLVD
Greenville, NC 27834
(252) 816-5150
✔ PECOS✔ Accepts Medicare18 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 34D2162362

Heritage Family Health And Wellness · Snow Hill, NC
Active · expires Feb 20, 2027
CLIA Number34D2162362
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 21, 2025
Certificate Expiration DateFebruary 20, 2027
Laboratory DirectorDebra B. Fell
Laboratory Phone(252) 747-2204
Laboratory LocationHeritage Family Health And Wellness190 Carolina Dr, Snow Hill, NC 28580
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 Heritage Family Health And Wellness PA's NPI number?

The NPI number for Heritage Family Health And Wellness PA is 1972092054. It was assigned to this organization in the NPPES registry on May 4, 2018.

Where is Heritage Family Health And Wellness PA located?

Heritage Family Health And Wellness PA is located at 1108B Kingold Blvd, Snow Hill, NC 28580. The listed phone number is (252) 524-1069.

What is Heritage Family Health And Wellness PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Heritage Family Health And Wellness PA enrolled in Medicare?

Yes. Heritage Family Health And Wellness PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Heritage Family Health And Wellness PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Heritage Family Health And Wellness 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. The largest specialties are Nurse Practitioner (3) and Family Practice (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Heritage Family Health And Wellness PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2162362) is associated with this NPI, valid through February 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Heritage Family Health And Wellness PA was last updated on June 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.