Wilmington Wellness Group, PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

WILMINGTON WELLNESS GROUP, PA

Practice address

1213 Culbreth Dr
Wilmington, NC 28405-3684

Phone

(910) 471-4773

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Shawn Ellington McCann, MD

Title

Owner

Phone

(910) 471-4774

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra Lare, D.O.

  • Psychiatry Physician
  • Caldwell, ID
  • NPI 1073699559
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235218546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 CULBRETH DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053684",
            "telephone_number": "910-471-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 CULBRETH DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053684",
            "telephone_number": "910-471-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON WELLNESS GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCANN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "ELLINGTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-471-4774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "141FF",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903309",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wilmington Surgical Associates PA
• Wilmington Trauma Center Inc
• Wilmington Treatment Center, LLC
• Wilmington Treatment Center, LLC
• Wilmington Upper Cervical Center, Corp
• Amanda Wilriss, BCBA
• Abigail Elizabeth Wilson
• Alexis Paige Wilson
• Anita Wilson
• Anthony Wilson

• Psychiatry Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.