Atlantic Brain and Spine, P.a.
Organization Active NPI Specialist · Wilmington, NC
NPI 1366407124 · NPPES record last updated Dec 16, 2021
Key facts
- NPI
- 1366407124
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- ATLANTIC BRAIN AND SPINE, P.A.
- Practice address
- 2208 S 17TH St
Suite 201
Wilmington, NC 28401-7515 - Phone
- (910) 763-3333
- Fax
- (910) 763-3336
- NPI assigned
- Apr 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Brandy Anderson
- Title
- Office Manager
- Phone
- (910) 763-3333
Other NPIs on the same Medicare enrollment 1
Practitioners 42
-
Laura Kathleen Reefer, NP-C
-
Jake Robert Schleppy, PHYSICIAN ASSISTANT
-
Maria Luisa Stoute, NP-C
-
Geoffrey Paul Stricsek, M.D.
-
Hannah Marie Wagner, PA-C
-
Chase Jonathan Whelan, PA-C
-
Jeffrey Probst, PA-C
-
Christopher J Steyskal, PA-C
-
Catherine Rebecca Zimel, PA C
-
Sheila Anderson, PA-C
-
Adam Pullan Brown, F.A.C.S.
-
Reid Christian Gilbert-Vass, PHYSICIAN ASSISTANT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051011000127 | NC | Part B Supplier - Clinic/Group Practice | 0840215786 |
Receives reassigned benefits from 34 practitioners 1 other NPI on this enrollment Practice locations: Wilmington, NC; Jacksonville, NC |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
2208 S 17TH St
Suite 201
Wilmington, NC 28401-7515
Mailing address
2208 S. 7TH Street
Suite 201
Wilmington, NC 28401-7593
Phone (910) 763-3333
Other practice location 1
2800 Ashton Dr Ste 200
Wilmington, NC 28412-2486
Phone (910) 799-2262
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89014U2 | Medicaid | NC | |
| 014U2 | Other | NC | BCBS |
Other names
- Atlantic Neurosurgical and Spine Specialist, P.A
Other providers in Wilmington, NC
- Atkins Family Practice PA
- Lisa Kay Atkins
- Danielle Atkinson
- Morgan La Neice Atkinson
- Wendy Laura Atkinson
- Atlantic Chiropractic Clinic
- Atlantic Coast Chiropractic
- Atlantic Dermatology, PA
- Atlantic Health Clinic, PA
- Atlantic Initiatives LLC
All providers in Wilmington, NC · Specialist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.