Provider Type Icon

WILMINGTON MEDICAL GROUP PA NPI 1457497968


NPI Information

NPI: 1457497968
Provider Name: WILMINGTON MEDICAL GROUP PA

Doing Business As: NORTHSIDE MEDICAL CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1925A OLEANDER DR
WILMINGTON, NC
ZIP 28403
Phone: (910) 251-7715
Get Directions

WILMINGTON MEDICAL GROUP PA is a family medicine in Wilmington, NC. The provider is 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. WILMINGTON MEDICAL GROUP PA NPI is 1457497968. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Northside Medical Center.

The provider's business location address is:

1925A OLEANDER DR
WILMINGTON, NC
ZIP 28403-334
Phone: (910) 251-7715
Fax: (910) 251-7777

The provider's authorized official is James Henry Pridgen .
The authorized official title is Medical Director and has the following contact phone number (910) 251-7715.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 11/20/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1012R9OTHERNORTH CAROLINABCBS
2230038OTHERNORTH CAROLINAMEDICARE
389012R9MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.