WAYNE HEALTH PHYSICIANS (NPI# 1053661066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053661066 |
| Entity Type | Organization |
| Organization Name | WAYNE HEALTH PHYSICIANS |
| Other Organization Name | WAYNE HEALTH PSYCHIATRIC SERVICES |
| Practice Address |
208 Cox Blvd Suite 100 Goldsboro NC 27534-9414 |
| Practice Telephone | 9195874051 |
| Practice Fax Number | 9195801083 |
| Mailing Telephone | 9195874051 |
| Mailing Fax Number | 9195801083 |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2014-04-23 |
| Authorized Official Name | CLYDE LOUIS THOMAS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9195874081 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Wayne Health Psychiatric Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396978169 | Wayne Health Physicians | Clinic/Center | 2400 Wayne Memorial Dr, Suite J, Goldsboro, NC 27534-1789 | 2009-08-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Wayne Health Physicians | 2700 Wayne Memorial Drive, Goldsboro, NC 27533 |
| Street Address |
208 COX BLVD SUITE 100 |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27534-9414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215950035 | Robert Joseph Albrecht Jr. | Surgery | 208 Cox Blvd, Ste 201, Goldsboro, NC 27534-9414 | 2006-07-25 |
| 1457912453 | Amanda Marie Pliler | Social Worker | 208 Cox Blvd, Goldsboro, NC 27534-9414 | 2019-06-21 |
| 1114385283 | Morgan Jackson | Nurse Practitioner | 208 Cox Blvd, Suite 201, Goldsboro, NC 27534-9414 | 2016-02-04 |
| 1508230608 | Wayne Health Vascular and Vein Center LLC | Surgery | 208 Cox Blvd, Suite 201, Goldsboro, NC 27534-9414 | 2015-11-30 |
| 1134598212 | Heather Rae Holland | Nurse Practitioner | 208 Cox Blvd, Goldsboro, NC 27534-9414 | 2015-09-18 |
| 1295092484 | Vontrelle Lynette Roundtree | Family Medicine | 208 Cox Blvd, Ste 102, Goldsboro, NC 27534-9414 | 2012-04-12 |
| 1558630699 | Wayne Health Medical Clinic, LLC | Internal Medicine | 208 Cox Blvd, Suite 102, Goldsboro, NC 27534-9414 | 2011-12-19 |
| 1326356940 | Tara Mclamb | Nurse Practitioner | 208 Cox Blvd, Ste 102, Goldsboro, NC 27534-9414 | 2010-09-16 |
| 1578883203 | Jennifer Scott Smith | Social Worker | 208 Cox Blvd, Suite 100, Goldsboro, NC 27534-9414 | 2010-06-04 |
| 1659571792 | Meredith Owen Godwin | Psychiatry & Neurology | 208 Cox Blvd, Ste 100, Goldsboro, NC 27534-9414 | 2007-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457875767 | Trent Jonathan Forshey | Physical Therapist | 2126 Wayne Memorial Dr, Goldsboro, NC 27534 | 2017-07-28 |
| 1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
| 1952845471 | Latoya Faulk | Social Worker | 121 Carolina Forest Drive, Goldsboro, NC 27534 | 2016-12-19 |
| 1528415841 | Kelby Joseph Sage Durnin | Military Health Care Provider | 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 | 2016-05-17 |
| 1528490604 | Eric Christian Bourgeois | Physical Therapist | 1101a Gracie Pl, Goldsboro, NC 27534 | 2013-07-31 |
| 1831439165 | Erica Nicole Davis | Optometrist | 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 | 2013-02-23 |
| 1891039236 | Betty Webb Zimmerman | Nurse Practitioner | 204 Cox Blvd, Goldsboro, NC 27534 | 2012-11-26 |
| 1144595265 | Life Recovery Psychological Services | Counselor | 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 | 2012-03-22 |
| 1558596536 | Taylor Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802 Taylor St, Goldsboro, NC 27534 | 2009-05-20 |
| 1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
| Find all providers in zip 27534 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669017810 | Elvira Carreno | Social Worker | 696 N Spence Ave Ste A, Goldsboro, NC 27534-4354 | 2019-11-12 |
| 1639676117 | Tasha S Hunter | Social Worker | 407 Wingspread Dr, Goldsboro, NC 27530-9625 | 2018-04-10 |
| 1952845471 | Latoya Faulk | Social Worker | 121 Carolina Forest Drive, Goldsboro, NC 27534 | 2016-12-19 |
| 1194150136 | Courtenay Hall | Social Worker | 1101 S Andrews Ave, Goldsboro, NC 27530-6622 | 2013-09-10 |
| 1649515024 | Laura Beth Barton | Social Worker | 2400 Wayne Memorial Dr Ste I, Goldsboro, NC 27534-1749 | 2012-12-11 |
| 1376896274 | Sharon G Jeanes | Social Worker | 307 E Beech Street, Goldsboro, NC 27530-2818 | 2012-10-17 |
| 1912254269 | Easter Mae Lewis | Social Worker | 109 Wintergreen Pl, Goldsboro, NC 27534-8036 | 2012-08-06 |
| 1962795112 | Charmaine Reenada Dees | Social Worker | 2719 Graves Dr Ste 5, Goldsboro, NC 27534-4536 | 2011-05-20 |
| 1467789776 | Tommel Hayes | Social Worker | 1706 Waynesboro Family Clinic, Goldsboro, NC 27534-2240 | 2009-11-06 |
| 1194997379 | Tranquility Counseling Services | Social Worker | 3300 Cashwell Dr, Suite # 3, Goldsboro, NC 27534-4456 | 2008-03-28 |
| Find all providers in GOLDSBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.