Individual provider Active NPI

John Jasper Wilkins III, MD

  • Pediatrics Physician
  • Whiteville, NC
National Provider Identifier
1013111590
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2010-01069 Issued in NC
Practice address
800 Jefferson St
Suite 116
Whiteville, NC 28472-3710
Phone
(910) 642-2642
NPI assigned
Jun 11, 2007
Last updated
Aug 8, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5915599MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, AZ, NC, KS4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20150223000543 ME Practitioner - Family PracticePractitioner - Pediatric Medicine 9436474111 Reassigns benefits to 1 organization
I20151209002695 AZ Practitioner - Pediatric Medicine 9436474111 Reassigns benefits to 1 organization
I20250322000052 NC Practitioner - Pediatric Medicine 9436474111 Reassigns benefits to 1 organization
I20250903001082 KS Practitioner - Pediatric Medicine 9436474111 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Mariposa Community Health Center, Inc Internal Medicine Current Accepting new patients
Ascension Via Christi Hospital Manhattan, Inc. Internal Medicine CurrentSince Aug 25, 2025 Accepting new patients
DLP Maria Parham Physician Practices, LLC Current Accepting new patients
Mariposa Community Health Center, Inc Internal Medicine CurrentSince Dec 1, 2015 Accepting new patients
Mariposa Community Health Center, Inc CurrentSince Dec 1, 2015 Accepting new patients
DLP Maria Parham Physician Practices LLC CurrentSince Apr 15, 2025 Accepting new patients
Ascension Via Christi Hospital Manhattan, Inc. Current Accepting new patients
DLP Maria Parham Physician Practices, LLC CurrentSince Apr 15, 2025 Accepting new patients
Ascension Via Christi Hospital Manhattan, Inc. CurrentSince Aug 25, 2025 Accepting new patients
Pines Health Services CurrentSince Feb 11, 2015 Accepting new patients
Pines Health Services Internal Medicine CurrentSince Feb 11, 2015 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

  • Direct secure messaging: john.wilkins.p1@direct.azch.nextgenshare.com
  • Direct secure messaging: jwilkins@crhn.cernerdirect.com
  • Direct secure messaging: 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.

View all 14

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

Verify at the official NPI Registry.