Hightide Healthcare PLLC
Organization Active NPI Family Medicine Physician · Kitty Hawk, NC
NPI 1376403147 · NPPES record last updated Apr 3, 2026
Key facts
- NPI
- 1376403147
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- HIGHTIDE HEALTHCARE PLLC
- Practice address
- 5200 N Croatan Hwy Ste 9
Kitty Hawk, NC 27949-3990 - Phone
- (757) 515-8071
- NPI assigned
- Nov 14, 2025
- Organization subpart
- No
Authorized official
- Name
- Leah H Woolridge
- Title
- Owner/FNP
- Phone
- (252) 581-8404
Practitioners 4
-
Carol A Pilote, FNP-C
-
Eric Robisch, PA-C
-
Leah H Woolridge, APRN, FNP-BC
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2342298 | Hightide Healthcare PLLC | Certificate of waiver | Apr 16, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260115000989 | NC | Part B Supplier - Clinic/Group Practice | 3375029705 |
Receives reassigned benefits from 4 practitioners Practice locations: Kitty Hawk, NC |
National Provider Directory
Locations
5200 N Croatan Hwy
Ste 9
Kitty Hawk, NC 27949
Phone (252) 581-8404
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
5200 N Croatan Hwy Ste 9
Kitty Hawk, NC 27949-3990
Mailing address
PO Box 1048
Kitty Hawk, NC 27949-1048
Phone (252) 581-8404
Other providers in Kitty Hawk, NC
- Hall Speech & Language Therapy, PLLC
- Sara E Hanks
- John Watts Haresch
- Henry Heermann
- Markus P. Heyder
- Wendy Holcomb
- Daniel J. Hurley Jr.
- Christine Bowers Hutto
- Crystal G Jarvis
- Amy C Johnson
All providers in Kitty Hawk, NC · Family Medicine Physician 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 Apr 3, 2026. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.