Individual provider Active NPI

Ashlee R Hornick, PA-C

  • Physician Assistant
  • Jacksonville, NC
National Provider Identifier
1255801452
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001010982 Issued in NC
Practice address
1000 Brabham Ave
Jacksonville, NC 28546-9406
Phone
(910) 341-3300
NPI assigned
Nov 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 50.005744RX OH
Physician Assistant 363A00000X 001010982 NC Primary

Addresses

Primary practice location

1000 Brabham Ave
Jacksonville, NC 28546-9406

Mailing address

1202 Medical Center Dr
Wilmington, NC 28401-7307
Phone (910) 341-3300

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210205001560 NC Practitioner - Physician Assistant 9335485705 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sampson Regional Professional Services LLCGroup PAC ID 6406992817, 18 clinicians

Practice addresses (Care Compare)

607 Beaman St
Clinton, NC 28328-2603
Phone (910) 596-5402

Hospital & facility affiliations

  • Sampson Regional Medical Center Hospital, Clinton, NC, CCN 340024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001010982NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sampson Regional Professional Services, LLC CurrentSince Apr 1, 2025 Accepting new patients
Wilmington ASC LLC CurrentSince Jan 29, 2021 Accepting new patients
Wha Medical Clinic PLLC Current Accepting new patients
Wilmington Health PLLC CurrentSince Jan 29, 2021 Accepting new patients
Sampson Regional Professional Services, LLC CurrentSince Apr 1, 2025 Accepting new patients
Sampson Regional Professional Services LLC Past Accepting new patients

Locations

607 Beaman St
Clinton, NC 28328
Phone (910) 590-8729

520 Beaman St
Clinton, NC 28328
Phone (910) 596-5633

1000 Brabham Ave
Jacksonville, NC 28546
Phone (910) 347-1515

1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705

Organizations & group practices 7

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 1

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": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1255801452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017307",
            "telephone_number": "910-341-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BRABHAM AVE",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285469406",
            "telephone_number": "910-341-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNICK",
        "first_name": "ASHLEE",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "OH",
            "license": "50.005744RX",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001010982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.