Individual provider Active NPI

Anthony Austin Bactol Horn

  • Nurse Practitioner
  • Wilmington, NC
National Provider Identifier
1083503551
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5022749 Issued in NC
Practice address
1415 Physicians Dr
Wilmington, NC 28401-7338
Phone
(910) 662-9500
NPI assigned
Jun 30, 2025
Last updated
Nov 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5022749 NC Primary
Family Nurse Practitioner 363LF0000X HORN-8C8DB NC

Addresses

Primary practice location

1415 Physicians Dr
Wilmington, NC 28401-7338

Mailing address

PO Box 936857
Atlanta, GA 31193-6857
Phone (910) 662-9500

Other practice location 1

3901 Durant Ct W
Wilmington, NC 28412-7447
Phone (510) 520-5717

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
I20251203001278 NC Practitioner - Nurse Practitioner 5395238844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1415 Physicians Dr
Wilmington, NC 28401-7338
Phone (910) 662-9500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5022749NCMDNurse Practitioner
HORN-8C8DBNCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NMG Health Services LLC CurrentSince Oct 16, 2025 Accepting new patients
Novant Health Medical Group Coastal Region, LLC CurrentSince Oct 16, 2025 Accepting new patients
New Hanover Medical Group PA Past Accepting new patients

Locations

257 Hospital Dr NE
Ste 201
Bolivia, NC 28422

3009 Medical Plaza Ln
Southport, NC 28461
Phone (910) 454-1234

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

109 Scotts Hill Medical Dr
Ste 204
Wilmington, NC 28411
Phone (910) 662-1960

1415 Physicians Dr
Wilmington, NC 28401
Phone (910) 251-3766

Interoperability endpoints

  • Direct secure messaging: ahorn1247342@direct.novanthealth.org

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1083503551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936857",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311936857",
            "telephone_number": "910-662-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 PHYSICIANS DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017338",
            "telephone_number": "910-662-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Durant Ct W",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284127447",
            "country_code": "US",
            "telephone_number": "510-520-5717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORN",
        "first_name": "ANTHONY AUSTIN",
        "middle_name": "BACTOL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5022749",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "HORN-8C8DB",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.