Active NPI
Port City Urgent Care PC
- Physician Assistant
- Wilmington, NC
National Provider Identifier
1023254497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Legal business name
- PORT CITY URGENT CARE PC
- Practice address
- 706 S College Rd
Wilmington, NC 28403-6411 - Phone
- (910) 798-2212
- Fax
- (910) 798-2242
- NPI assigned
- Jan 6, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Chris A Ochs
- Title
- Administrator
- Phone
- (910) 798-2212
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
706 S College Rd
Wilmington, NC 28403-6411
Mailing address
706 S College Rd
Wilmington, NC 28403-6411
Phone (910) 798-2212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D1094248 | Port City Urgent Care and Family Practice | Certificate of waiver | Jul 31, 2027 |
National Provider Directory
National Provider DirectoryLocations
706 S College Rd
Wilmington, NC 28403
Phone (910) 798-2212
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Wilmington, NC
- NPI 1407875859
-
- Medical Physician Assistant
- Charlotte, NC
- NPI 1053330480
-
- Emergency Medicine Physician
- Wilmington, NC
- NPI 1538195540
-
- Family Medicine Physician
- Salem, NH
- NPI 1497709448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701820800000",
"number": "1023254497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 S COLLEGE RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036411",
"telephone_number": "910-798-2212",
"fax_number": "910-798-2242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 S COLLEGE RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036411",
"telephone_number": "910-798-2212",
"fax_number": "910-798-2242"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORT CITY URGENT CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-06",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A",
"authorized_official_last_name": "OCHS",
"authorized_official_first_name": "CHRIS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "910-798-2212",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.