Individual provider Active NPI

Talia Francesca Marie McDonough, PA-C

  • Physician Assistant
  • Wilmington, NC
National Provider Identifier
1013368828
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-06608 Issued in NC
Practice address
1988 S 16TH St
Wilmington, NC 28401-6647
Phone
(910) 662-8440
Fax
(910) 795-4826
NPI assigned
Jun 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-06608 NC Primary

Addresses

Primary practice location

1988 S 16TH St
Wilmington, NC 28401-6647

Mailing address

1988 S 16TH St
Wilmington, NC 28401-6647
Phone (910) 662-8440

Other practice location 1

545 Ocean Hwy W
Supply, NC 28462-4047
Phone (910) 253-3380

Other practice location 2

1988 S 16th St Bldg B
Wilmington, NC 28401-6647
Phone (910) 662-8440

Other practice location 3

1988 S 16th St Bldg A
Wilmington, NC 28401-6647
Phone (910) 662-8428

Other practice location 4

2131 S 17th St
Wilmington, NC 28401-7407
Phone (910) 667-3000

Other practice location 5

151 Scotts Hill Medical Dr
Wilmington, NC 28411-7983
Phone (910) 662-8440

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address talia.mcdonough@novanthealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161003001956 NC Practitioner - Physician Assistant 9830486018 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coastal Carolina Radiation Oncology PLLCGroup PAC ID 1153322631, 11 clinicians

Practice addresses (Care Compare)

1988 A S 16TH St
Wilmington, NC 28401-6647
Phone (910) 662-8440

1988 S 16TH St
Wilmington, NC 28401-6647
Phone (910) 662-8440

200 Queens Rd
Suite 400
Charlotte, NC 28204-3264

2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 667-3000

545 Ocean Hwy W
Supply, NC 28462-4047
Phone (910) 253-3380

Hospital & facility affiliations

  • Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141
  • Novant Health Brunswick Medical Center Hospital, Supply, NC, CCN 340158
  • J Arthur Dosher Memorial Hospital Hospital, Southport, NC, CCN 341327
  • Pender Memorial Hospital Hospital, Burgaw, NC, CCN 341307

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergeortho PA Physician Assistant CurrentSince Jan 8, 2018 Accepting new patients
Emergeortho PA CurrentSince Jan 8, 2018 Accepting new patients
New Hanover Regional Medical Center PastSince Nov 13, 2022 Accepting new patients

Locations

799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079

Interoperability endpoints

  • Direct secure messaging: talia.pringle@952.chartlogic.direct-ci.com
  • Direct secure messaging: tmcdonough1249148@direct.novanthealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1013368828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1988 S 16TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016647",
            "telephone_number": "910-662-8440",
            "fax_number": "910-662-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1988 S 16TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016647",
            "telephone_number": "910-662-8440",
            "fax_number": "910-795-4826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 Ocean Hwy W",
            "address_purpose": "LOCATION",
            "city": "Supply",
            "state": "NC",
            "postal_code": "284624047",
            "country_code": "US",
            "telephone_number": "910-253-3380",
            "fax_number": "910-338-3993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1988 S 16th St Bldg B",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284016647",
            "country_code": "US",
            "telephone_number": "910-662-8440",
            "fax_number": "910-795-4826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1988 S 16th St Bldg A",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284016647",
            "country_code": "US",
            "telephone_number": "910-662-8428",
            "fax_number": "910-795-4826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2131 S 17th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017407",
            "country_code": "US",
            "telephone_number": "910-667-3000",
            "fax_number": "910-338-0965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "151 Scotts Hill Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284117983",
            "country_code": "US",
            "telephone_number": "910-662-8440",
            "fax_number": "910-667-6733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "TALIA",
        "middle_name": "FRANCESCA MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-06608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "talia.mcdonough@novanthealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "1988 S 16th St",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284016647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.