NPIMap

Organization Active NPI

Patriotmed of North Carolina, P.C.

  • Radiology Clinic/Center
  • Wilmington, NC
National Provider Identifier
1104761337
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
PATRIOTMED OF NORTH CAROLINA, P.C.
Practice address
1721 Allens LN Ste 221-222
Wilmington, NC 28403-3661
Phone
(910) 805-3929
NPI assigned
Apr 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Robert Scott Thornock
Title
Chief Strategy Officer
Phone
(480) 369-1270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

1721 Allens LN Ste 221-222
Wilmington, NC 28403-3661

Mailing address

1721 Allens LN Ste 221-222
Wilmington, NC 28403-3661

National Provider Directory

National Provider Directory
Tax ID family
Patriotmed of North Carolina PC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1721 Allens Ln
Ste 221222
Wilmington, NC 28403
Phone (910) 805-3929

NPI Registry JSON

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

{
    "created_epoch": "1776816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1104761337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 ALLENS LN STE 221-222",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 ALLENS LN STE 221-222",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033661",
            "telephone_number": "910-805-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOTMED OF NORTH CAROLINA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-22",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "THORNOCK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CHIEF STRATEGY OFFICER",
        "authorized_official_telephone_number": "480-369-1270"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.