Individual provider Active NPI

James S. Wilkinson, M. D.

  • Family Medicine Physician
  • Nags Head, NC
National Provider Identifier
1386719805
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29449 Issued in NC
Practice address
4917 S Croatan Hwy
Unit 1B
Nags Head, NC 27959-8811
Phone
(252) 261-4187
Fax
(252) 261-5182
NPI assigned
Nov 21, 2006
Last updated
Oct 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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 29449 NC Primary

Addresses

Primary practice location

4917 S Croatan Hwy
Unit 1B
Nags Head, NC 27959-8811

Mailing address

4917 S Croatan Hwy
Unit 1B
Nags Head, NC 27959-8811
Phone (252) 261-4187

Other identifiers 1

IdentifierTypeStateIssuer
8987606MedicaidNC

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
I20100825001185 NC Practitioner - Family Practice 2264556455

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29449NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Medical PLLC PastSince Jun 28, 2021 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24390/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1386719805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4917 S CROATAN HWY",
            "address_2": "UNIT 1B",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279598811",
            "telephone_number": "252-261-4187",
            "fax_number": "252-261-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4917 S CROATAN HWY",
            "address_2": "UNIT 1B",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279598811",
            "telephone_number": "252-261-4187",
            "fax_number": "252-261-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "JAMES",
        "middle_name": "S.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "29449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8987606",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nags Head, NC

Sources for this page

Verify at the official NPI Registry.