WESTERN WAYNE MEDICAL CENTER
NPI 1720046980
Clinic/Center - Family Planning, Non-Surgical in Goldsboro, NC

NPI Status: Active since May 03, 2006

Contact Information

2280 US HIGHWAY 70 W
GOLDSBORO, NC
ZIP 27530
Phone: (919) 735-1400
Fax: (919) 581-0353

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  • Organization
  • Clinic/Center
  • Family Planning, Non-Surgical
  • CLIA Number: 34D0946682
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-11-2026

About WESTERN WAYNE MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Western Wayne Medical Center, a provider established in Goldsboro, North Carolina operating as a Clinic/center, focusing in family planning, non-surgical . The healthcare provider is registered in the NPI registry with number 1720046980 assigned on May 2006. The practitioner's primary taxonomy code is 261QF0050X with license number 32555 (NC). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mrs. Susan G Croom (Billing Manager)

NPI
1720046980
Provider Name
WESTERN WAYNE MEDICAL CENTER
Entity Type
Organization
Location Address
2280 US HIGHWAY 70 W GOLDSBORO, NC 27530
Location Phone
(919) 735-1400
Location Fax
(919) 581-0353
Mailing Address
2280 US HIGHWAY 70 W GOLDSBORO, NC 27530
Mailing Phone
(919) 735-1400
Mailing Fax
(919) 581-0353
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-03-2006
Last Update Date
08-22-2020
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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

Clinic/Center Family Planning, Non-Surgical

Taxonomy Code
261QF0050X
Type
Ambulatory Health Care Facilities
License No.
32555
License State
NC
Taxonomy Description
An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives.

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

MRS. SUSAN G CROOM

Authorized Official Title
BILLING MANAGER
Authorized Official Phone
(919) 735-1400

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D0946682
Facility Type
Physician Office
Certificate Effective Date
August 12, 2024
Certificate Expiration Date
August 11, 2026
Laboratory Director
CHRIS A. PATE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Western Wayne Medical Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for WESTERN WAYNE MEDICAL CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720046980
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27400412916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 0 + 4 + 1 + 2 + 9 + 1 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1720046980 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366405938DR. CHRIS ANTHONY PATE M.D.
Individual
Family Medicine2280 US HIGHWAY 70 W
GOLDSBORO, NC 27530
(919) 735-1400
1851341937CHRIS A. PATE MD PA
Organization
Clinic/Center (Primary Care)2280 US HIGHWAY 70 W
GOLDSBORO, NC 27530
(919) 735-1400
1578822326BIOSYMMETRY PC
Organization
Clinic/Center (Health Service)2280 US HIGHWAY 70 W
GOLDSBORO, NC 27530
(919) 988-9332
1427391812 RICHARD KYLE GREY PA
Individual
Physician Assistant2280 US HIGHWAY 70 W
GOLDSBORO, NC 27530
(919) 735-1400
1720007511MRS. SUE FORTAG BARNETT FNP
Individual
Nurse Practitioner (Family)2280 US HIGHWAY 70 W
GOLDSBORO, NC 27530
(919) 735-1400
1639678204 KRYSTAL ANN PENDERGRAFT
Individual
Nurse Practitioner (Family)2280 US HIGHWAY 70 W
GOLDSBORO, NC 27530
(919) 735-1400
1891312120 STEPHANIE WAMBACK NP-C
Individual
Family Medicine2280 US HIGHWAY 70 W
GOLDSBORO, NC 27530
(919) 988-9332

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720046980, enumerated in the NPI registry as an "organization" on May 03, 2006

The provider is located at 2280 Us Highway 70 W Goldsboro, Nc 27530 and the phone number is (919) 735-1400

This medical organization specializes in Clinic/Center with taxonomy code 261QF0050X with a focus in Family Planning, Non-Surgical

The provider's CLIA number is 34D0946682 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 03, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.