Individual provider Active NPI

Chase Jonathan Whelan, PA-C

  • Surgical Physician Assistant
  • Wilmington, NC
National Provider Identifier
1023590502
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
2208 S 17TH St Ste 201
Wilmington, NC 28401
Phone
(910) 763-3333
NPI assigned
Aug 31, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 004247 CT
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X NC Primary

Addresses

Primary practice location

2208 S 17TH St Ste 201
Wilmington, NC 28401

Mailing address

2208 S 17TH St Ste 201
Wilmington, NC 28401-7594
Phone (910) 763-3333

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
I20191230002605 NC Practitioner - Physician Assistant 9638418312 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Brain and Spine, P.a. 22 clinicians

Practice addresses (Care Compare)

2208 S 17TH St
Suite 201
Wilmington, NC 28401-7594
Phone (910) 763-3333

2800 Ashton Dr
Suite 200
Wilmington, NC 28412-2486
Phone (910) 799-2262

Hospital & facility affiliations

  • Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
004247CTMDSurgical Physician Assistant
4247CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Brain and Spine, P.a. Single Specialty CurrentSince Oct 5, 2019 Accepting new patients

Locations

2208 S 17th St
Wilmington, NC 28401
Phone (910) 763-3333

2208 S 17th St
Ste 201
Wilmington, NC 28401
Phone (910) 763-3333

Interoperability endpoints

  • Direct secure messaging: cwhelan1047607@direct.novanthealth.org

Organizations & group practices 3

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 1

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": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1023590502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 S 17TH ST STE 201",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017594",
            "telephone_number": "910-763-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 S 17TH ST STE 201",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28401",
            "telephone_number": "910-763-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHELAN",
        "first_name": "CHASE",
        "middle_name": "JONATHAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-31",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "004247",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.