Victory Medical PLLC
NPI 1356917793 · Primary Care Nurse Practitioner · Bladenboro, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Victory Medical PLLC is a Primary Care Nurse Practitioner organization in Bladenboro, NC (NPI 1356917793).
Provider details
- NPI number
- 1356917793
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Daphne Green, Fnp/Owner(910) 770-1514
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-05-27
- Last updated
- 2021-08-11
- Certified
- 2021-08-11
Frequently asked questions
- What is Victory Medical PLLC's NPI number?
- Victory Medical PLLC's National Provider Identifier (NPI) is 1356917793, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Victory Medical PLLC?
- Victory Medical PLLC is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Victory Medical PLLC located?
- Victory Medical PLLC's practice location on file with NPPES is 305 South Main Street, Bladenboro, NC 28320.
- What is Victory Medical PLLC's phone number?
- The practice phone number listed in the NPPES registry for Victory Medical PLLC is (910) 809-0082.
- Does Victory Medical PLLC accept Medicare?
- Victory Medical PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Victory Medical PLLC?
- The authorized official listed on Victory Medical PLLC's NPPES record is Daphne Green, Fnp/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Victory Medical PLLC's NPI active?
- Yes — Victory Medical PLLC's NPI (1356917793) is active in the NPPES registry as of the last update on 2021-08-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.