NPIMap

Organization Active NPI

Planned Parenthood South Atlantic

  • Advanced Practice Midwife
  • Wilmington, NC
National Provider Identifier
1124165451
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Legal business name
PLANNED PARENTHOOD SOUTH ATLANTIC
Practice address
1925 Tradd CT
Wilmington, NC 28401-6638
Phone
(910) 762-5566
Fax
(919) 762-4088
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Karl Leville
Title
Cfo
Phone
(919) 833-7526

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Family Planning Facility 261QA0005X
Advanced Practice MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 367A00000X Primary

Addresses

Primary practice location

1925 Tradd CT
Wilmington, NC 28401-6638

Mailing address

100 S Boylan Ave
Raleigh, NC 27603-1802
Phone (919) 833-7534

Other practice location 1

1921 Tradd Ct
Wilmington, NC 28401-6638
Phone (910) 762-5566

Other identifiers 1

IdentifierTypeStateIssuer
790211AMedicaidNC

Other names 1

  • Planned Parenthood Health Systems Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Planned Parenthood Health Systems17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Locations

1925 Tradd Ct
Wilmington, NC 28401
Phone (910) 762-5566

1921 Tradd Ct
Wilmington, NC 28401
Phone (910) 762-5566

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1124165451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S BOYLAN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276031802",
            "telephone_number": "919-833-7534",
            "fax_number": "919-833-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 TRADD CT",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016638",
            "telephone_number": "910-762-5566",
            "fax_number": "919-762-4088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1921 Tradd Ct",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284016638",
            "country_code": "US",
            "telephone_number": "910-762-5566",
            "fax_number": "919-762-4088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD SOUTH ATLANTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "LEVILLE",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "919-833-7526"
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790211A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Planned Parenthood Health Systems",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 8, 2025; 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.