Organization Active NPI

Azalea Primary Care

  • Physician Assistant
  • Wilmington, NC
National Provider Identifier
1164528709
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
103239 Issued in NC
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

Updated by the provider on Jul 22, 2013

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)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.