Individual provider Active NPI

Eric Aodh O'Reilly, MD

  • Family Medicine Physician
  • Wilmington, NC
National Provider Identifier
1366051922
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2022-02715 Issued in NC
Practice address
1213 Culbreth Dr
Wilmington, NC 28405-3639
Phone
(910) 742-1290
NPI assigned
Jul 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2022-02715 NC Primary

Addresses

Primary practice location

1213 Culbreth Dr
Wilmington, NC 28405-3639

Mailing address

1213 Culbreth Dr
Wilmington, NC 28405-3639

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
I20240617000353 NC Practitioner - Family Practice 6608266317 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Regional Physician ServicesGroup PAC ID 7012058548, 34 clinicians

Practice addresses (Care Compare)

730 Oakridge Blvd
Lumberton, NC 28358-2324
Phone (910) 738-2662

Hospital & facility affiliations

  • Southeastern Regional Medical Center Hospital, Lumberton, NC, CCN 340050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022-02715NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scotland Memorial Hospital Inc CurrentSince Apr 2, 2024 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Apr 2, 2024 Accepting new patients
Southeastern Regional Physician Services CurrentSince Nov 8, 2024 Accepting new patients
Vidant Medical Group LLC CurrentSince Sep 26, 2024 Accepting new patients
Southeastern Regional Physician Services CurrentSince Nov 8, 2024 Accepting new patients
Baptist Health Deaconess Medical Group Inc Family Medicine Current Accepting new patients

Locations

1851 N Main St
Madisonville, KY 42431
Phone (270) 821-7739

200 Clinic Dr
Madisonville, KY 42431
Phone (270) 821-8874

800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

101 S Carey St
La Grange, NC 28551
Phone (252) 556-6402

106 McAlpine Ln
Laurinburg, NC 28352
Phone (910) 276-7011

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

395 W 27th St
Lumberton, NC 28358
Phone (910) 738-3434

730 Oakridge Blvd
Lumberton, NC 28358
Phone (910) 738-2662

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

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 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": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1366051922",
    "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": "284053639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 CULBRETH DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053639",
            "telephone_number": "910-742-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'REILLY",
        "first_name": "ERIC",
        "middle_name": "AODH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-29",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2022-02715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.