Douglas Todd Vick, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

102728 Issued in NC

Practice address

710 Sunset Blvd N Ste a
Sunset Beach, NC 28468-4340

Phone

(910) 663-2273

Fax

(910) 663-4050

NPI assigned

Nov 22, 2006

Last updated

May 6, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC, NC2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palmetto Spine and Pain Care Consultants, LLCGroup PAC ID 8527381540, 3 clinicians

Coastal Comprehensive Care PAGroup PAC ID 9436496536, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: douglasvick@crna.allscriptsdirect.net
• FHIR API: https://fhir4.healow.com/fhir/r4/BGCHBD/Endpoint/BGCHBD
• FHIR API: https://fhir4.healow.com/fhir/r4/EGDFAD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Palmetto Spine & Pain Care Consultants, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Myrtle Beach, SC
  • NPI 1679974588
  Medicare reassignment Care Compare group NPD
• Coastal Comprehensive Care PA

  • Family Medicine Physician
  • Sunset Beach, NC
  • NPI 1457828253
  Medicare reassignment Care Compare group NPD (past)
• Integrated Pain Solutions PLLC

  • Interventional Pain Medicine Physician
  • Asheboro, NC
  • NPI 1114766102
  NPD
• Integrated Pain Solutions PLLC

  • Interventional Pain Medicine Physician
  • Southern Pines, NC
  • NPI 1790728921
  NPD
• Palmetto Spine and Pain Care Consultants, LLC

  • Durable Medical Equipment & Medical Supplies
  • Myrtle Beach, SC
  • NPI 1871987990
  NPD
• Carolina Spine Pain LLC

  • Pain Medicine Physician
  • Easley, SC
  • NPI 1447918230
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1043385123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2123",
            "city": "BRYSON CITY",
            "state": "NC",
            "postal_code": "287135123",
            "telephone_number": "910-490-0490",
            "fax_number": "828-538-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 SUNSET BLVD N STE A",
            "city": "SUNSET BEACH",
            "state": "NC",
            "postal_code": "284684340",
            "telephone_number": "910-663-2273",
            "fax_number": "910-663-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICK",
        "first_name": "DOUGLAS",
        "middle_name": "TODD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "PA555",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043385123",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shallotte Medical Center Inc (Seaside Medical Center)
• Southeastern Medical, PA
• Southeastern Medical, PA
• Sunset Imaging, LLC
• Andrew Forman Thorndyke
• Walgreen Co (Walgreens #07749)
• Rebecca Layton Westveer, PT
• John Whitaker
• Fraevelyn C Williams
• Sheila Ann Wolfe, BS, MSW

• Physician Assistant in Sunset Beach, NC
• Providers in Sunset Beach, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.