WILMINGTON HEALTH PLLC (NPI# 1902439169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902439169 |
| Entity Type | Organization |
| Organization Name | WILMINGTON HEALTH PLLC |
| Other Organization Name | WILMINGTON HEALTH WELLNESS CLINIC |
| Practice Address |
612 College St Jacksonville NC 28540-5311 |
| Mailing Address |
1202 Medical Center Dr Wilmington NC 28401-7307 |
| Practice Telephone | 9103413300 |
| Practice Fax Number | 9107721307 |
| Mailing Telephone | 9108156162 |
| Mailing Fax Number | 9107721307 |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2020-03-05 |
| Authorized Official Name | NICOLE DUCHARME (SPECIAL PROJECTS ADMINISTRATOR) |
| Authorized Official Telephone | 9108156162 |
| Is Organization Subpart | Y |
| Parent Organization Name | WILMINGTON HEALTH PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Onslow County Wellness Clinic | Other Name - Individual/Organization |
| Wilmington Health Wellness Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215593819 | Wilmington Health Pllc | Clinic/Center | 1811 Tiburon Dr, Wilmington, NC 28403-6254 | 2019-05-20 |
| 1851600159 | Wilmington Health Pllc | Family Medicine | 20 Southend Ct, Hampstead, NC 28443-7013 | 2010-10-04 |
| 1205078243 | Wilmington Health Pllc | Pediatrics | 4320 Henson Dr, Wilmington, NC 28405-7424 | 2009-04-06 |
| 1043485097 | Wilmington Health Pllc | Sleep Specialist, PhD | 1227 Medical Center Dr, Wilmington, NC 28401-7306 | 2008-04-29 |
| 1396910659 | Wilmington Health Pllc | Specialist | 8064 Market St, Wilmington, NC 28411-9384 | 2008-04-28 |
| 1417234683 | Wilmington Health Pllc | Hearing Instrument Specialist | 2421 Silver Stream Ln, Atten: Credentialing, Wilmington, NC 28401-7684 | 2011-11-15 |
| 1912210865 | Wilmington Health Pllc | Family Medicine | 1000 Brabham Avenue, Jacksonville, NC 28546-5003 | 2010-07-21 |
| 1780996173 | Wilmington Health Pllc | Family Medicine | 5245 S College Rd, Wilmington, NC 28412-2209 | 2010-07-14 |
| 1326350190 | Wilmington Health Pllc | Internal Medicine | 4222 Long Beach Rd Se, Southport, NC 28461-8627 | 2010-07-09 |
| 1760623730 | Wilmington Health Pllc | Otolaryngology | 8090 Market St, Wilmington, NC 28411-9384 | 2009-03-20 |
| Street Address |
612 COLLEGE ST |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28540-5311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548263098 | Linda Smoot Sayko | Nurse Practitioner | 612 College St, Jacksonville, NC 28540-5311 | 2005-05-28 |
| 1326686213 | Sierra Grainger Cook | Dietitian, Registered | 612 College St, Jacksonville, NC 28540-5311 | 2019-12-11 |
| 1699239814 | Haley Smith | Midwife | 612 College St, Jacksonville, NC 28540-5311 | 2019-01-23 |
| 1801305974 | Barbara M Benson | Dietitian, Registered | 612 College St, Jacksonville, NC 28540-5311 | 2017-09-21 |
| 1073044202 | Aisha Ford | Dietitian, Registered | 612 College St, Jacksonville, NC 28540-5311 | 2017-03-21 |
| 1629516034 | Sara Munson | Dietitian, Registered | 612 College St, Jacksonville, NC 28540-5311 | 2017-02-06 |
| 1225586795 | Briana Nicole Terry | Nurse Practitioner | 612 College St, Jacksonville, NC 28540-5311 | 2016-09-14 |
| 1225586910 | Paula Hissett | Dietitian, Registered | 612 College St, Jacksonville, NC 28540-5311 | 2016-09-12 |
| 1851794465 | Sydnie Rene Leroy | Dietitian, Registered | 612 College St, Jacksonville, NC 28540 | 2014-09-28 |
| 1821360009 | Amy P Farmer | Advanced Practice Midwife | 612 College St, Jacksonville, NC 28540-5311 | 2012-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067785 | Knox Counseling and Consulting, PC | Case Management | 513 New Bridge St-suite 500, Jacksonville, NC 28540 | 2020-09-14 |
| 1629696646 | Mary Ann Caldwell | Counselor | 2496 Northwoods Dr., Jacksonville, NC 28540 | 2020-07-07 |
| 1639793748 | Johnathon T Brewer | Military Health Care Provider | 100 White St, Jacksonville, NC 28540 | 2020-06-04 |
| 1043782899 | Brice Rivra | Military Health Care Provider | Rr 612 Loop Road, Jacsksonvile, NC 28540 | 2018-12-18 |
| 1649768599 | Alexander John Pybus | Student in an Organized Health Care Education/Training Program | White St Bldg As-100, Jacksonville, NC 28540 | 2018-04-26 |
| 1881198182 | Orleiquis Guerra | Military Health Care Provider | Marine Corps Air Station New River Bldg As-100, Jacksonville, NC 28540 | 2018-03-21 |
| 1558864736 | Andrew Louis Monroe | General Practice | As-100 White Street, Jacksonville, NC 28540 | 2018-03-14 |
| 1588183198 | Citizen Community Transport, LLC | Private Vehicle | 220 Foxwood Ct., Jacksonville, NC 28540 | 2017-09-14 |
| 1558886242 | Brandon Jay Smith | Military Health Care Provider | E Street Bldg G770, Camp Lejeune, NC 28540 | 2017-08-03 |
| 1174043244 | Jason Waters | Military Health Care Provider | White St, Bldg As-100, Jacksonville, NC 28540 | 2017-06-21 |
| Find all providers in zip 28540 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1255336350 | Walter R Gilbert Jr Md Pa | Clinic/Center | 3 Shircliff Way, Ste 122, Jacksonville, FL 32204-4757 | 2005-06-15 |
| 1710592787 | Infinite Rehabilitation and Wellness Center, LLC | Clinic/Center | 6349 Beach Blvd, Jacksonville, FL 32216-2707 | 2020-09-15 |
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| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28540 |
Please comment or provide details below to improve the information on WILMINGTON HEALTH PLLC.
| 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.