Tinsley Surgical, PA

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

TINSLEY SURGICAL, PA

Practice address

1717 Shipyard Blvd Ste 200
Wilmington, NC 28403-8019

Phone

(910) 399-6427

Fax

(910) 769-3531

NPI assigned

Dec 5, 2018

Last updated

Oct 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ellis A Tinsley, MDNPI 1285614578

Title

Owner

Phone

(910) 769-2583

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22201/brand/1/csg/1/fhir/r4

Practitioners 10

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.

• Ellis A Tinsley Jr., MD

  • Surgery Physician
  • Wilmington, NC
  • NPI 1285614578
  Medicare reassignment Care Compare group NPD Authorized official
• Candace Ann Barber, NP

  • Acute Care Nurse Practitioner
  • Wilmington, NC
  • NPI 1437856259
  Medicare reassignment Care Compare group NPD
• Cori Baker, NP

  • Family Nurse Practitioner
  • Blountville, TN
  • NPI 1407571284

  NC

  Medicare reassignment Care Compare group NPD
• Samuel J Groot, MD

  • Surgery Physician
  • Greenville, SC
  • NPI 1275026510

  NC

  Medicare reassignment Care Compare group NPD
• Meredith Deily, PA-C

  • Physician Assistant
  • Wilmington, NC
  • NPI 1174196919
  Medicare reassignment Care Compare group
• Erin Amber Elphick, PA-C

  • Physician Assistant
  • Wilmington, NC
  • NPI 1285241083
  Medicare reassignment Care Compare group
• David Deaton

  • Vascular Surgery Physician
  • Columbia, SC
  • NPI 1023000858

  NC

  Medicare reassignment NPD
• Max Brandon Ludlum, PA-C

  • Physician Assistant
  • Wilmington, NC
  • NPI 1669918223
  Medicare reassignment
• Kelli S Daughtry

  • Physician Assistant
  • Georgetown, SC
  • NPI 1154977916

  NC

  Medicare reassignment
• Bailey Andrew Watts

  • Physician Assistant
  • Fort Campbell, KY
  • NPI 1700749884

  NC

  Medicare reassignment

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1407326291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 SHIPYARD BLVD STE 200",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038019",
            "telephone_number": "910-769-2583",
            "fax_number": "910-769-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 SHIPYARD BLVD STE 200",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038019",
            "telephone_number": "910-399-6427",
            "fax_number": "910-769-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINSLEY SURGICAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-05",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "TINSLEY",
        "authorized_official_first_name": "ELLIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-769-2583",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacey Timmerman, RBT
• Tiffany Timpson, PA
• Timur Akinli, M.D., P.C. (Dr. Mur)
• Cortney Tindal, LCAS, LPCA, CRC
• Davis Tingle
• Ellis A Tinsley Jr., MD
• David Glen Tipton, M.D.
• Tirzah Wellness Center, PLLC
• Chad Everett Tisdale, O.D.
• Katherine Laura Tison

• Vascular Surgery Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Vascular Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.