NPIMap

Organization Active NPI

American Anesthesiology of North Carolina, PLLC

  • Anesthesiology Physician
  • Wilmington, NC
National Provider Identifier
1033412267
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
AMERICAN ANESTHESIOLOGY OF NORTH CAROLINA, PLLC
Practice address
2520 Independence Blvd
Suite 200
Wilmington, NC 28412
Phone
(910) 442-1100
Fax
(910) 442-1199
NPI assigned
Dec 9, 2010
Last updated
May 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Authorized official

Name
Edgar Garrabrant, MDNPI 1104937549
Title
President/Owner
Phone
(516) 945-3000

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
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

2520 Independence Blvd
Suite 200
Wilmington, NC 28412

Mailing address

1305 Walt Whitman Rd Ste 300
Melville, NY 11747-4300
Phone (516) 208-4250

Other identifiers 4

IdentifierTypeStateIssuer
8053959 (CRNA)MedicaidNC
CB1276OtherNCRAILRAOD-MEDICARE
5917193 (MD)MedicaidNC
024AAOtherNCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031118000860 NC Part B Supplier - Clinic/Group Practice 2961316450 Receives reassigned benefits from 311 practitioners
3 other NPIs on this enrollment
O20031229000004 NC Part B Supplier - Clinic/Group Practice 2961316450 Receives reassigned benefits from 647 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Raleigh, NC; Wilmington, NC; Wilson, NC; Burlington, NC; Cary, NC; Denver, NC; Dunn, NC; Fayetteville, NC…

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

215 Brightwater Dr
Lillington, NC 27546
Phone 9108921000 ext. 3007

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

1919 S 16th St
Wilmington, NC 28401
Phone (910) 763-9334

510 Carolina Bay Dr
Wilmington, NC 28403
Phone (910) 338-0795

Practitioners & affiliated clinicians

Practitioners 523

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.

View all 523

NPI Registry JSON

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1033412267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 WALT WHITMAN RD STE 300",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474300",
            "telephone_number": "516-208-4250",
            "fax_number": "448-206-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 INDEPENDENCE BLVD",
            "address_2": "SUITE 200",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28412",
            "telephone_number": "910-442-1100",
            "fax_number": "910-442-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN ANESTHESIOLOGY OF NORTH CAROLINA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "GARRABRANT",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "516-945-3000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8053959 (CRNA)",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILRAOD-MEDICARE",
            "identifier": "CB1276",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5917193 (MD)",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "024AA",
            "state": "NC"
        }
    ],
    "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 May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.