Elizabeth McNeill Bunting, DSC, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001000817 Issued in NC

Practice address

226 N Front St.
#129
Wilmington, NC 28401-3920

Phone

(910) 469-4690

Fax

(910) 933-7084

NPI assigned

Mar 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Elizabeth McNeill Hedberg Former name

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

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: elizabeth.bunting.1@31430.direct.athenahealth.com

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.

• Tideline Psych PLLC

  • Physician Assistant
  • Wilmington, NC
  • NPI 1578384301
  Medicare reassignment

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1053435412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2697 ST JAMES DR",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284618553",
            "telephone_number": "910-469-4690",
            "fax_number": "910-933-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 N FRONT ST.",
            "address_2": "#129",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284013920",
            "telephone_number": "910-469-4690",
            "fax_number": "910-933-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNTING",
        "first_name": "ELIZABETH",
        "middle_name": "MCNEILL",
        "credential": "DSC, PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001000817",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "001000817",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "001000817",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8101306",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "HEDBERG",
            "middle_name": "MCNEILL",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca Frances Bulut
• Maria Bumbalo, SLP
• Samantha Jean Bunge, DC
• Shelley Jan Bunn, LCMHCA
• Taylor Pilar Bunn, MS
• Jane Vogt Buongiorno, PH.D.
• Paul Anthony Buongiorno, M.D.
• Linda W Burbank, MSW LCSW
• Jane Marie Burchfield, OTRL CHT
• Latecia A Burden, LCSW

• Physician Assistant in Wilmington, NC
• Providers in Wilmington, 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 Jun 5, 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.