Wilmington Surgery Center, LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

AS0055 Issued in NC

Legal business name

WILMINGTON SURGERY CENTER, LP

Doing business as

Wilmington SurgCare

Practice address

1801 S 17TH St
Wilmington, NC 28401-6443

Phone

(910) 763-4555

Fax

(910) 343-4922

NPI assigned

Jun 9, 2005

Last updated

Jul 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrea Smith-Jones

Title

VP ASC Operations

Phone

(704) 907-3705

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wilmington SurgCare Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Listed as

Wilmington Surgery Center LPCCN 34C0001038

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1063416998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016443",
            "telephone_number": "910-763-4555",
            "fax_number": "910-343-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016443",
            "telephone_number": "910-763-4555",
            "fax_number": "910-343-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON SURGERY CENTER, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "SMITH-JONES",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "VP ASC OPERATIONS",
        "authorized_official_telephone_number": "704-907-3705"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NC",
            "license": "AS0055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409918",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilmington SurgCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulatory Surgical Clinic/Center in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Ambulatory Surgical Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.

Verify at the official NPI Registry.