Active NPI
Azalea Primary Care
- Physician Assistant
- Wilmington, NC
National Provider Identifier
1164528709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 103239
- Legal business name
- AZALEA PRIMARY CARE
- Practice address
- 422 Stradleigh Rd
Wilmington, NC 28403-1232 - Phone
- (910) 297-0137
- NPI assigned
- Sep 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tammy S Melgar, PA-C
- Title
- Owner
- Phone
- (910) 297-0137
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 103239 | NC | Primary |
Addresses
Primary practice location
422 Stradleigh Rd
Wilmington, NC 28403-1232
Mailing address
422 Stradleigh Rd
Wilmington, NC 28403-1232
Phone (910) 297-0137
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Whiteville, NC
- NPI 1588677736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1374451200000",
"number": "1164528709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "422 STRADLEIGH RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284031232",
"telephone_number": "910-297-0137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 STRADLEIGH RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284031232",
"telephone_number": "910-297-0137"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AZALEA PRIMARY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-14",
"last_updated": "2013-07-22",
"status": "A",
"authorized_official_last_name": "MELGAR",
"authorized_official_first_name": "TAMMY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "910-297-0137",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "NC",
"license": "103239",
"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 Jul 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.