Active NPI
Tracey McKinzie, P.A.
- Physician Assistant
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-03337
- Practice address
- 1025 Medical Center Dr Ste 201
Wilmington, NC 28401-7355 - Phone
- (910) 444-0707
- Fax
- (910) 444-0708
- NPI assigned
- Jan 18, 2012
- Last updated
- Mar 16, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-03337 | NC | Primary |
Addresses
Primary practice location
1025 Medical Center Dr Ste 201
Wilmington, NC 28401-7355
Mailing address
1025 Medical Center Dr Ste 201
Wilmington, NC 28401-7355
Phone (910) 444-0707
Other practice location 1
1604 Physicians Dr Ste 103
Wilmington, NC 28401-7349
Phone (910) 444-0707
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1025 Medical Ctr Dr
Suite 201
Wilmington, NC 28401-7355
Phone (910) 763-3601
1729 New Hanover Medical Park Dr
Wilmington, NC 28403-5345
Phone (910) 763-3601
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.61 of 100
- Quality
- 91.39
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-03337 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilmington Eye, P.a. | Current | Accepting new patients |
Locations
205 US Highway 117 S
Burgaw, NC 28425
Phone (910) 736-3601
1025 Medical Center Dr
Ste 201
Wilmington, NC 28401
Phone (910) 338-2773
1729 Medical Park
#P
Wilmington, NC 28403
1729 New Hanover Medical Park Dr
Wilmington, NC 28403
Phone (910) 772-8261
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- tmckinzie@wileye.intellechartdirect.net
- tmckinzie1249222@direct.novanthealth.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Wilmington, NC
- NPI 1831280205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773619200000",
"number": "1265703581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 MEDICAL CENTER DR STE 201",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017355",
"telephone_number": "910-444-0707",
"fax_number": "910-444-0708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 MEDICAL CENTER DR STE 201",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017355",
"telephone_number": "910-444-0707",
"fax_number": "910-444-0708"
}
],
"practiceLocations": [
{
"address_1": "1604 Physicians Dr Ste 103",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284017349",
"country_code": "US",
"telephone_number": "910-444-0707",
"fax_number": "910-444-0708",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCKINZIE",
"first_name": "TRACEY",
"name_prefix": "Miss",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-18",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-03337",
"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 Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.