Individual provider Active NPI

Jill Ann McCulley, MS PAC

  • Physician Assistant
  • Wilmington, NC
National Provider Identifier
1407819964
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
103169 Issued in NC
Practice address
1209 Culbreth Dr Ste 102
Wilmington, NC 28405-8318
Phone
(910) 834-8850
Fax
(910) 319-8851
NPI assigned
Apr 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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 103169 NC Primary

Addresses

Primary practice location

1209 Culbreth Dr Ste 102
Wilmington, NC 28405-8318

Mailing address

1209 Culbreth Dr Ste 102
Wilmington, NC 28405-8318
Phone (910) 834-8850

Other names 1

  • Jill Ann Billups Former name

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
I20090910000149 NC Practitioner - Physician Assistant 8022163385 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Spine and Sports Medicine, PLLCGroup PAC ID 1951887959, 2 clinicians
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians

Practice addresses (Care Compare)

1209 Culbreth Dr
Suite 102
Wilmington, NC 28405-8318
Phone (910) 262-1048

3787 Shipyard Blvd
Wilmington, NC 28403-6148
Phone (910) 332-3800

799 Doctors CT
Roxboro, NC 27573-4571
Phone (336) 599-4079

8115 Market St
Suite 108
Wilmington, NC 28411-8429
Phone (910) 332-3800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.07 of 100Reported as group
Quality
85.94
Promoting interoperability
100
Improvement activities
40
Cost
77.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
103169NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Spine & Sports Medicine, PLLC CurrentSince Jan 12, 2026 Accepting new patients
Emergeortho PA CurrentSince Jul 1, 2016 Accepting new patients
Emergeortho PA Physician Assistant CurrentSince Jul 1, 2016 Accepting new patients

Locations

799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079

1209 Culbreth Dr
Ste 102
Wilmington, NC 28405
Phone (910) 262-1048

3787 Shipyard Blvd
Wilmington, NC 28403
Phone (910) 341-2444

2716 Ashton Dr
Wilmington, NC 28412
Phone (910) 332-1534

8115 Market St
Ste 108
Wilmington, NC 28411
Phone (910) 763-2361

Interoperability endpoints

  • Direct secure messaging: jmcculley1249124@direct.novanthealth.org
  • Direct secure messaging: jill.mcculley.1@847.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1407819964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 CULBRETH DR STE 102",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284058318",
            "telephone_number": "910-834-8850",
            "fax_number": "910-319-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 CULBRETH DR STE 102",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284058318",
            "telephone_number": "910-834-8850",
            "fax_number": "910-319-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLEY",
        "first_name": "JILL",
        "middle_name": "ANN",
        "credential": "MS PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "BILLUPS",
            "middle_name": "ANN",
            "credential": "MS PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.