Individual provider Active NPI

James Henry Pridgen, M.D.

  • Internal Medicine Physician
  • Whiteville, NC
National Provider Identifier
1215083563
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
29495 Issued in NC
Practice address
614 N JK Powell Blvd
Whiteville, NC 28472-3008
Phone
(910) 640-2009
Fax
(910) 640-3036
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 29495 NC Primary
Emergency Medicine Physician 207P00000X 29495 NC
Family Medicine Physician 207Q00000X 29495 NC

Addresses

Primary practice location

614 N JK Powell Blvd
Whiteville, NC 28472-3008

Mailing address

119 Holly St
Holly Ridge, NC 28445-7898
Phone (910) 329-1707

Other practice location 1

119 Holly St
Holly Ridge, NC 28445-7898
Phone (910) 329-1707

Other practice location 2

282 Flowers Pridgen Dr
Whiteville, NC 28472-9110
Phone (910) 640-2009

Other identifiers 1

IdentifierTypeStateIssuer
7969223MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041006000438 NC Practitioner - Family PracticePractitioner - Internal Medicine 9032014154 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Wake Forest University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Holly Ridge Healthcare PAGroup PAC ID 0840370276, 2 clinicians
North Whiteville Urgent Care and Family Practice PAGroup PAC ID 9133203466, 4 clinicians

Practice addresses (Care Compare)

119 Holly St
Holly Ridge, NC 28445-7898
Phone (910) 329-1707

614 N JK Powell Blvd
Whiteville, NC 28472-3008
Phone (910) 640-2009

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29495NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holly Ridge Chiropractic & Auto Injury CurrentSince Aug 1, 2015 Accepting new patients
Southside Medical Center PA Family Medicine CurrentSince Jan 1, 2008 Accepting new patients
Holly Ridge Healthcare PA Family Medicine CurrentSince Jan 1, 2008 Accepting new patients
Vohra Wound Physicians of Ny, PLLC Family Medicine Past Accepting new patients
Wilmington Medical Group PA Family Medicine PastSince Aug 1, 2001 Accepting new patients

Locations

308 US Highway 17 N
Holly Ridge, NC 28445
Phone (910) 264-2334

119 Holly St
Holly Ridge, NC 28445
Phone (910) 329-1707

614 N Jk Powell Blvd
Whiteville, NC 28472
Phone (910) 640-2009

1925A Oleander Dr
Wilmington, NC 28403
Phone (910) 251-7715

Interoperability endpoints

  • Direct secure messaging: james.pridgen.3@2160.direct.athenahealth.com
  • Direct secure messaging: james.pridgen.2@2160.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/2160/brand/42/csg/81/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/2160/brand/41/csg/42/fhir/r4
  • Direct secure messaging: james.pridgen.1@2160.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1215083563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 HOLLY ST",
            "city": "HOLLY RIDGE",
            "state": "NC",
            "postal_code": "284457898",
            "telephone_number": "910-329-1707",
            "fax_number": "910-329-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 N JK POWELL BLVD",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723008",
            "telephone_number": "910-640-2009",
            "fax_number": "910-640-3036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 Holly St",
            "address_purpose": "LOCATION",
            "city": "Holly Ridge",
            "state": "NC",
            "postal_code": "284457898",
            "country_code": "US",
            "telephone_number": "910-329-1707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "282 Flowers Pridgen Dr",
            "address_purpose": "LOCATION",
            "city": "Whiteville",
            "state": "NC",
            "postal_code": "284729110",
            "country_code": "US",
            "telephone_number": "910-640-2009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIDGEN",
        "first_name": "JAMES",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "29495",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "29495",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "29495",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7969223",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteville, NC

Sources for this page

Verify at the official NPI Registry.