Active NPI
Above & Beyond Wellness - Bladen
- Family Medicine Physician
- Elizabethtown, NC
National Provider Identifier
1023739281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sonja Hilburn, FNP-BC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
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 |
|---|---|---|---|
| 34D2290328 | Above & Beyond Wellness - Bladen, PLLC | Certificate of waiver | Sep 24, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Clarkton, NC
- NPI 1225366453
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.