Wilmington Maternal-Fetal Medicine, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

36297 Issued in NC

Legal business name

WILMINGTON MATERNAL-FETAL MEDICINE, PLLC

Practice address

2212 Delaney Ave
Wilmington, NC 28403-6011

Phone

(910) 332-3660

Fax

(910) 762-0569

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Ashley TompkinsNPI 1760775860

Title

Practice Administrator

Phone

(910) 332-3660

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21518/brand/1/csg/1/fhir/r4

Practitioners 5

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

• Alissa Renee Carver, M.D.

  • Maternal & Fetal Medicine Physician
  • Wilmington, NC
  • NPI 1437350147
  Medicare reassignment Care Compare group NPD
• Lydia North Wright, MD

  • Maternal & Fetal Medicine Physician
  • Wilmington, NC
  • NPI 1891794558
  Medicare reassignment Care Compare group
• Ashley Tompkins, MS, CGC

  • Genetic Counselor (M.S.)
  • Wilmington, NC
  • NPI 1760775860
  NPD Authorized official
• Jane Elizabeth Merk, CRNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Philadelphia, PA
  • NPI 1356625669
  NPD (past)
• Keisha L.B. Reddick, MD

  • Maternal & Fetal Medicine Physician
  • Savannah, GA
  • NPI 1154532331
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1306957451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 DELANEY AVENUE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036011",
            "telephone_number": "910-332-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 DELANEY AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036011",
            "telephone_number": "910-332-3660",
            "fax_number": "910-762-0569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42 Office Park Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285463217",
            "country_code": "US",
            "telephone_number": "910-332-3660",
            "fax_number": "910-762-0569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WILMINGTON MATERNAL-FETAL MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "TOMPKINS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "910-332-3660"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "36297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1891794558",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905112",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "018RT",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.