Individual provider Active NPI

Ashley Pratt, PA

  • Physician Assistant
  • Wilmington, NC
National Provider Identifier
1366694853
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-01578 Issued in NC
Practice address
510 Carolina Bay Dr
Ste 110
Wilmington, NC 28403-2041
Phone
(910) 662-6000
NPI assigned
Oct 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-01578 NC Primary

Addresses

Primary practice location

510 Carolina Bay Dr
Ste 110
Wilmington, NC 28403-2041

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

1960 S 16th St
Wilmington, NC 28401-6676
Phone (910) 343-9991

Other practice location 2

112 Medical Village Dr
Ste G
Wallace, NC 28466-1668
Phone (910) 285-0333

Other practice location 3

5145 S College Rd
Wilmington, NC 28412-2207
Phone (910) 792-1144

Other practice location 4

7420 Market St
Wilmington, NC 28411-9453
Phone (910) 686-2525

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
I20081204000956 NC Practitioner - Physician Assistant 8628139938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medac Health Services PAGroup PAC ID 1254220809, 24 clinicians

Practice addresses (Care Compare)

1442 Military Cutoff Rd
Wilmington, NC 28403-3605
Phone (910) 256-6088

2600 New Village Way
Wilmington, NC 28405-7426
Phone (910) 338-2735

4402 Shipyard Blvd
Wilmington, NC 28403-6161
Phone (910) 791-0075

5245 S College Rd
Wilmington, NC 28412-2209
Phone (910) 392-7806

8115 Market St
Suite 100
Wilmington, NC 28411-8428
Phone (910) 686-1972

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medac Health Services, PA CurrentSince Aug 13, 2019 Accepting new patients
Medac Health Services, PA CurrentSince Aug 13, 2019 Accepting new patients

Locations

4402 Shipyard Blvd
Wilmington, NC 28403
Phone (910) 202-3363

2600 New Village Way
Wilmington, NC 28405
Phone (910) 251-5858

8115 Market St
Ste 100
Wilmington, NC 28411
Phone (910) 256-6088

1442 Military Cutoff Rd
Wilmington, NC 28403
Phone (910) 256-6088

5245 College Rd S
Wilmington, NC 28412
Phone (910) 347-1515

8115 Market St
Wilmington, NC 28411
Phone (910) 256-6088

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1366694853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 CAROLINA BAY DR",
            "address_2": "STE 110",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032041",
            "telephone_number": "910-662-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1960 S 16th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284016676",
            "country_code": "US",
            "telephone_number": "910-343-9991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 Medical Village Dr",
            "address_2": "Ste G",
            "address_purpose": "LOCATION",
            "city": "Wallace",
            "state": "NC",
            "postal_code": "284661668",
            "country_code": "US",
            "telephone_number": "910-285-0333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5145 S College Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284122207",
            "country_code": "US",
            "telephone_number": "910-792-1144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7420 Market St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284119453",
            "country_code": "US",
            "telephone_number": "910-686-2525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRATT",
        "first_name": "ASHLEY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-16",
        "last_updated": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-01578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.