Policarpo Rodney Despaigne, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

102548 Issued in NC

Practice address

1135 Military Cutoff Rd
Suite 103
Wilmington, NC 28405-3966

Phone

(910) 256-6222

Fax

(910) 256-0011

NPI assigned

Mar 10, 2006

Last updated

Feb 29, 2008By 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 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2160/brand/24/csg/26/fhir/r4

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.

• Seamed Services PLLC

  • Internal Medicine Physician
  • Leland, NC
  • NPI 1902135874
  NPD (past) Authorized official
• Chicora Medical Group PA

  • Pulmonary Disease Physician
  • Shallotte, NC
  • NPI 1770552119
  NPD (past)
• Chicora Medical Group PA

  dba Brunswick Speciality Services

  • Family Medicine Physician
  • Supply, NC
  • NPI 1881663227
  NPD (past)
• Shallotte Medical Center Inc

  dba Seaside Medical Center

  • Family Medicine Physician
  • Sunset Beach, NC
  • NPI 1538138979
  NPD (past)
• Shallotte Medical Center Inc

  • Family Medicine Physician
  • Shallotte, NC
  • NPI 1609845049
  NPD (past)
• Ucb Properties LLC

  dba Chicora Urgent Care

  • Family Medicine Physician
  • Supply, NC
  • NPI 1861461204
  NPD (past)

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1063480598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "796 JACKEYS CREEK LN SE",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284519204",
            "telephone_number": "910-371-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 MILITARY CUTOFF RD",
            "address_2": "SUITE 103",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053966",
            "telephone_number": "910-256-6222",
            "fax_number": "910-256-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESPAIGNE",
        "first_name": "POLICARPO",
        "middle_name": "RODNEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dermatology Associates, PA
• Dermone of North Carolina PA
• Dermone Plastic Surgery Associates of North Carolina, PA
• Cassandra Desantis
• Yvonne Desmet, P.A.-C
• Emily Despain, LCMHC-A
• Danielle Antoinette Dest, LCSW
• Heather R. Dest, LCSW
• Destination Wellness Therapy PLLC
• Destined Care LLC

• 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 Feb 29, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.