WILMINGTON SURGERY CENTER LP NPI 1063416998

NPI Information

  • NPI: 1063416998
  • Provider Name: WILMINGTON SURGERY CENTER, LP
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • :
  • CLIA Number: 34D0874300
  • Address: 1801 S 17TH ST
    WILMINGTON, NC
    ZIP 28401
  • Phone: (910) 763-4555

Map and Directions

Get Directions

NPI Details

WILMINGTON SURGERY CENTER, LP is an ambulatory surgical clinic center in Wilmington, NC. WILMINGTON SURGERY CENTER, LP NPI is 1063416998. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1801 S 17TH ST
WILMINGTON, NC
ZIP 28401-443
Phone: (910) 763-4555
Fax: (910) 343-4922

The provider's authorized official is Andrea Smith-jones .
The authorized official title is Vp Asc Operations and has the following contact phone number (704) 907-3705.

The CLIA number assigned to this NPI record is 34D0874300 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml (HCPCS:J1097)
  • Dexamethasone, lacrimal ophthalmic insert, 0.1 mg (HCPCS:J1096)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Repair of tendon of upper eyelid (HCPCS:67904)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
  • Removal of extensive shoulder joint tissue using an endoscope (HCPCS:29823)
  • Removal of both knee cartilages using an endoscope (HCPCS:29880)
  • Repair of groin hernia using an endoscope (HCPCS:49650)
  • Insertion of spinal neurostimulator electrode array through skin (HCPCS:63650)
  • Removal of nasal air passage under lining tissue (HCPCS:30140)
  • Removal of nasal sinus tissue using an endoscope (HCPCS:31267)
  • Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
  • Correction of toe joint deformity (HCPCS:28285)
  • Partial removal of collar bone at shoulder using an endoscope (HCPCS:29824)
  • Insertion of spinal neurostimulator generator or receiver (HCPCS:63685)
  • Partial removal of spine bone with release of lower spinal cord or nerves and/or removal of disc (HCPCS:63030)
  • Partial removal of breast (HCPCS:19301)
  • Removal of gallbladder using an endoscope (HCPCS:47562)
  • Incision to improve eye fluid flow (HCPCS:65820)
  • Release of tendon connecting biceps muscle and shoulder using an endoscope (HCPCS:29828)
  • Partial removal of breast and underarm lymph nodes (HCPCS:19302)
  • Removal of connective tissue of palm and release of finger, first digit (HCPCS:26123)

The enumeration date for this NPI number is 6/9/2005 and was last updated on 7/24/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalAS0055NORTH CAROLINAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13409918MEDICAIDNORTH 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: 11/21/2025

NPI Synchronization or Removal

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.