Active NPI
John Jasper Wilkins III, MD
- Pediatrics Physician
- Whiteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2010-01069
- Practice address
- 800 Jefferson St
Suite 116
Whiteville, NC 28472-3710 - Phone
- (910) 642-2642
- NPI assigned
- Jun 11, 2007
- Last updated
- Aug 8, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2010-01069 | NC | Primary |
Addresses
Primary practice location
800 Jefferson St
Suite 116
Whiteville, NC 28472-3710
Mailing address
800 Jefferson St
Suite 116
Whiteville, NC 28472-3710
Phone (910) 642-2642
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5915599 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, AZ, NC, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Duke University School of Medicine, 2007
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1100 N Saint Francis St
Wichita, KS 67214-2878
1100 N Saint Francis St
Suite 400
Wichita, KS 67214-2884
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mariposa Community Health Center, Inc | Internal Medicine | Current | Accepting new patients |
| Ascension Via Christi Hospital Manhattan, Inc. | Internal Medicine | Current | Accepting new patients |
| DLP Maria Parham Physician Practices, LLC | Current | Accepting new patients | |
| Mariposa Community Health Center, Inc | Internal Medicine | Current | Accepting new patients |
| Mariposa Community Health Center, Inc | Current | Accepting new patients | |
| DLP Maria Parham Physician Practices LLC | Current | Accepting new patients | |
| Ascension Via Christi Hospital Manhattan, Inc. | Current | Accepting new patients | |
| DLP Maria Parham Physician Practices, LLC | Current | Accepting new patients | |
| Ascension Via Christi Hospital Manhattan, Inc. | Current | Accepting new patients | |
| Pines Health Services | Current | Accepting new patients | |
| Pines Health Services | Internal Medicine | Current | Accepting new patients |
| Mariposa Community Health Center, Inc | Internal Medicine | Past | Accepting new patients |
| Mariposa Community Health Center, Inc | Internal Medicine | Past | Accepting new patients |
| HCH Tucson Holdings LLC | Past | Accepting new patients |
Locations
1209 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3135
1835 N Mastick Way
Nogales, AZ 85621
Phone 5202811550 ext. 1180
1852 N Mastick Way
Nogales, AZ 85621
Phone (520) 375-5032
825 N Grand Ave
Ste 100
Nogales, AZ 85621
Phone (520) 761-2128
1103 Circulo Mercado
Rio Rico, AZ 85648
Phone 5202811550 ext. 1180
1103 Circulo Mercado
Ste E
Rio Rico, AZ 85648
Phone 52028115501307
1823 College Ave
Manhattan, KS 66502
Phone (785) 539-1704
163 Van Buren Rd
Caribou, ME 04736
Phone (207) 498-1320
74 Access Hwy
Caribou, ME 04736
Phone (207) 498-2350
120 Charles Rollins Rd
Ste 105
Henderson, NC 27536
Phone (252) 438-2773
511 Ruin Creek Rd
Ste 101
Henderson, NC 27536
Phone (252) 436-0440
566 Ruin Creek Rd
Henderson, NC 27536
Phone (252) 436-1148
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
Interoperability endpoints
- john.wilkins.p1@direct.azch.nextgenshare.com
- jwilkins@crhn.cernerdirect.com
- jwilkins376988@direct.ochin.org
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Maria Parham Primary Care
- Family Medicine Physician
- Henderson, NC
- NPI 1215273628
-
- General Practice Physician
- Manhattan, KS
- NPI 1144220153
Internal Medicine
-
- Federally Qualified Health Center (FQHC)
- Nogales, AZ
- NPI 1417985474
Internal Medicine
-
- Internal Medicine Physician
- Caribou, ME
- NPI 1942277819
-
- Rural Health Clinic/Center
- Henderson, NC
- NPI 1578256749
-
dba Maria Parham Primary Care
- Family Medicine Physician
- Henderson, NC
- NPI 1720364649
-
- Interventional Cardiology Physician
- Manhattan, KS
- NPI 1720271091
-
- General Acute Care Hospital
- Manhattan, KS
- NPI 1760482517
-
dba Family Health Center
- Federally Qualified Health Center (FQHC)
- Patagonia, AZ
- NPI 1003837618
Internal Medicine
-
- Federally Qualified Health Center (FQHC)
- Nogales, AZ
- NPI 1487537445
-
dba Washburn Health Center
- Federally Qualified Health Center (FQHC)
- Washburn, ME
- NPI 1922449834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344384000000",
"number": "1013111590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 JEFFERSON ST",
"address_2": "SUITE 116",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284723710",
"telephone_number": "910-642-2642",
"fax_number": "910-642-3346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 JEFFERSON ST",
"address_2": "SUITE 116",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284723710",
"telephone_number": "910-642-2642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINS",
"first_name": "JOHN",
"middle_name": "JASPER",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-11",
"last_updated": "2012-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2010-01069",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5915599",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Whiteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.