NPIMap

Organization Active NPI

Patient Centered Care, PLLC

  • Adult Health Nurse Practitioner
  • Wilmington, NC
National Provider Identifier
1174714034
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
900335 Issued in NC
Legal business name
PATIENT CENTERED CARE, PLLC
Practice address
5917 Oleander Dr Ste 202
Wilmington, NC 28403-4709
Phone
(910) 799-6262
Fax
(910) 799-6261
NPI assigned
Aug 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Authorized official

Name
Heather M Wingate
Title
Office Manager
Phone
(910) 799-6262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X 900335 NC Primary

Addresses

Primary practice location

5917 Oleander Dr Ste 202
Wilmington, NC 28403-4709

Mailing address

PO Box 3227
Wilmington, NC 28406-0227
Phone (910) 799-6262

Other identifiers 4

IdentifierTypeStateIssuer
2809647 NCMedicaidNC
7004817MedicaidNC
7004182MedicaidNC
7006560MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071016000059 NC Part B Supplier - Clinic/Group Practice 7012003569 Receives reassigned benefits from 6 practitioners
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
34D1072042Patient Centered Care PLLC5917 Oleander Dr Suit 202, Wilmington, NC 28403Provider-performed microscopyAug 7, 2027

National Provider Directory

National Provider Directory

Locations

5917 Oleander Dr
Ste 202
Wilmington, NC 28403
Phone (910) 409-8958

3803 Peachtree Ave
Wilmington, NC 28403
Phone (910) 313-2111

Practitioners & affiliated clinicians

Practitioners 10

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": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1174714034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3227",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284060227",
            "telephone_number": "910-799-6262",
            "fax_number": "910-799-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5917 OLEANDER DR STE 202",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034709",
            "telephone_number": "910-799-6262",
            "fax_number": "910-799-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT CENTERED CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "WINGATE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "910-799-6262"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "900335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2809647 NC",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004817",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004182",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7006560",
            "state": "NC"
        }
    ],
    "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 Aug 13, 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.