Organization Active NPI

Progress Medical, PLLC

  • Internal Medicine Physician
  • Wilmington, NC
National Provider Identifier
1104431725
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PROGRESS MEDICAL, PLLC
Practice address
1642 Military Cutoff Rd
Wilmington, NC 28403-5716
Phone
(910) 274-6718
Fax
(910) 782-0829
NPI assigned
Sep 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Joshua Dobstaff, MDNPI 1891923975
Title
Owner
Phone
(910) 274-6718

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1642 Military Cutoff Rd
Wilmington, NC 28403-5716

Mailing address

2104 Talmage Dr
Leland, NC 28451-9340
Phone (910) 274-6718

Other identifiers 1

IdentifierTypeStateIssuer
2012-01439OtherNCDOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL DRJOSH@PROGRESSMEDICAL.NET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200929002362 NC Part B Supplier - Clinic/Group Practice 5294154944 Receives reassigned benefits from 1 practitioner
Practice locations: Wilmington, NC

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2190274Progress Medical, PLLC1642 Military Cutoff Rd, Wilmington, NC 28403Certificate of waiverAug 10, 2026

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26371/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1104431725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 TALMAGE DR",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284519340",
            "telephone_number": "910-274-6718",
            "fax_number": "910-782-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 MILITARY CUTOFF RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035716",
            "telephone_number": "910-274-6718",
            "fax_number": "910-782-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESS MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-10",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "DOBSTAFF",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-274-6718",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH",
            "identifier": "2012-01439",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "DRJOSH@PROGRESSMEDICAL.NET",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMAIL",
            "address_1": "2104 Talmage Dr",
            "city": "Leland",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284519340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.