Individual provider Active NPI

Wendy Yvonne Shropshire-Atkins, PA-C

  • Physician Assistant
  • Wilmington, NC
National Provider Identifier
1033255252
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001000036 Issued in NC
Practice address
1911 S 17TH St
Suite 130a
Wilmington, NC 28401-6662
Phone
(910) 790-7840
Fax
(910) 790-7828
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 001000036 NC
Physician Assistant 363A00000X 001000036 NC Primary

Addresses

Primary practice location

1911 S 17TH St
Suite 130a
Wilmington, NC 28401-6662

Mailing address

1911 S 17TH St
Suite 130-a
Wilmington, NC 28401-6662
Phone (910) 790-7840

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
I20050727000186 NC Practitioner - Physician Assistant 8527096049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Wake Forest University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1911 S 17TH St
Suite 130a
Wilmington, NC 28401-6663
Phone (910) 790-7840

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
001000036NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abrons Family Practice and Urgent Care, P.a. Family Medicine CurrentSince Nov 1, 2004 Accepting new patients

Locations

1911 S 17th St
Ste 130A
Wilmington, NC 28401
Phone (910) 790-7840

Organizations & group practices 2

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1033255252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 S 17TH ST",
            "address_2": "SUITE 130-A",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016662",
            "telephone_number": "910-790-7840",
            "fax_number": "910-790-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 S 17TH ST",
            "address_2": "SUITE 130A",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016662",
            "telephone_number": "910-790-7840",
            "fax_number": "910-790-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHROPSHIRE-ATKINS",
        "first_name": "WENDY",
        "middle_name": "YVONNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "001000036",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001000036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.