NPIMap

Organization Active NPI

Wilmington Health PLLC

Doing business as Carolina OB/Gyn at Porter's Neck

  • Specialist
  • Wilmington, NC
National Provider Identifier
1396910659
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
73991 Issued in NC
Legal business name
WILMINGTON HEALTH PLLC
Doing business as
Carolina OB/Gyn at Porter's Neck
Practice address
8064 Market St
Wilmington, NC 28411-9384
Phone
(910) 796-7767
Fax
(910) 686-7159
NPI assigned
Apr 28, 2008
Last updated
Feb 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Authorized official

Name
Jeanette Loveless
Title
Cbo Director
Phone
(910) 796-7730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 73991 NC Primary

Addresses

Primary practice location

8064 Market St
Wilmington, NC 28411-9384

Mailing address

1202 Medical Center Dr
Wilmington, NC 28401-7307
Phone (910) 617-6705

Other names 1

  • Carolina OB/Gyn at Porter's Neck Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031208000800 NC Part B Supplier - Clinic/Group Practice 6103722509 Receives reassigned benefits from 489 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Jacksonville, NC; Wilmington, NC; Leland, NC; Hampstead, NC; Carolina Beach, NC

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D1092381Wilmington Health Dermatology8064 Market Street, Wilmington, NC 28411Provider-performed microscopyOct 28, 2027
34D2330728Wilmington Health8064 Market St, Wilmington, NC 28411Certificate of waiverSep 21, 2027

National Provider Directory

National Provider Directory

Locations

8064 Market St
Wilmington, NC 28411
Phone (910) 796-7767

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1396910659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017307",
            "telephone_number": "910-617-6705",
            "fax_number": "910-431-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8064 MARKET ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119384",
            "telephone_number": "910-796-7767",
            "fax_number": "910-686-7159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "LOVELESS",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "CBO DIRECTOR",
        "authorized_official_telephone_number": "910-796-7730"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "73991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina OB/Gyn at Porter's Neck",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carolina OB/Gyn at Porter's Neck",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.