Organization Active NPI

Above & Beyond Wellness - Bladen

  • Family Medicine Physician
  • Elizabethtown, NC
National Provider Identifier
1023739281
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ABOVE & BEYOND WELLNESS - BLADEN
Practice address
101 S Craig St
Elizabethtown, NC 28337-3905
Phone
(910) 991-3060
Fax
(910) 226-7566
NPI assigned
Sep 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Authorized official

Name
Sonja Hilburn, FNP-BCNPI 1235875543
Title
Owner/Managing Officer
Phone
(910) 991-3060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

101 S Craig St
Elizabethtown, NC 28337-3905

Mailing address

101 S Craig St
Elizabethtown, NC 28337-3905
Phone (910) 991-3060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221122003630 NC Part B Supplier - Clinic/Group Practice 1850769837 Receives reassigned benefits from 2 practitioners
Practice locations: Elizabethtown, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2290328Above & Beyond Wellness - Bladen, PLLC101 S Craig St, Elizabethtown, NC 28337Certificate of waiverSep 24, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1023739281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S CRAIG ST",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283373905",
            "telephone_number": "910-991-3060",
            "fax_number": "910-226-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S CRAIG ST",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283373905",
            "telephone_number": "910-991-3060",
            "fax_number": "910-226-7566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOVE & BEYOND WELLNESS - BLADEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "HILBURN",
        "authorized_official_first_name": "SONJA",
        "authorized_official_title_or_position": "OWNER/MANAGING OFFICER",
        "authorized_official_telephone_number": "910-991-3060",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.

Verify at the official NPI Registry.