Individual provider Active NPI

Terrance Charles Ashby, ANP

  • Adult Health Nurse Practitioner
  • Wilmington, NC
National Provider Identifier
1063440402
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
900170 Issued in NC
Practice address
1709 S 16TH St Ste a
Wilmington, NC 28401-6491
Phone
(910) 452-8633
Fax
(910) 452-8569
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 110799 NC
Adult Health Nurse Practitioner 363LA2200X 900170 NC Primary

Addresses

Primary practice location

1709 S 16TH St Ste a
Wilmington, NC 28401-6491

Mailing address

PO Box 15109
Wilmington, NC 28408-5109
Phone (910) 392-2525

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
I20050314000228 NC Practitioner - Nurse Practitioner 8426003468 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
110799NCMDAdult Health Nurse Practitioner
900170NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Geriatrics, PA CurrentSince Mar 1, 2011 Accepting new patients
Senior Health Associates, P.a. CurrentSince May 18, 2019 Accepting new patients
Partners in Endocrinology and Diabetes PLLC Past Accepting new patients

Locations

5919 Oleander Dr
Ste 109
Wilmington, NC 28403
Phone (910) 798-5544

1709 S 16th St
Ste A
Wilmington, NC 28401
Phone (910) 452-8633

1984 S 16th St
Ste 1
Wilmington, NC 28401
Phone (910) 452-8633

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1063440402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15109",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284085109",
            "telephone_number": "910-392-2525",
            "fax_number": "910-392-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 S 16TH ST STE A",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016491",
            "telephone_number": "910-452-8633",
            "fax_number": "910-452-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHBY",
        "first_name": "TERRANCE",
        "middle_name": "CHARLES",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "110799",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "900170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.