Organization Active NPI

Addictioncare 101

Doing business as A101

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Wilmington, NC
National Provider Identifier
1447725098
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
Legal business name
ADDICTIONCARE 101
Doing business as
A101
Practice address
311 4 E Judges Road
Wilmington, NC 28405
Phone
(910) 791-6767
Fax
(910) 399-2190
NPI assigned
Oct 10, 2018
Last updated
Oct 10, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
ADDICTIONCARE 101As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2018

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

Authorized official

Name
William Beasley
Title
Chief Operating Office
Phone
(910) 791-6767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X Primary

Addresses

Primary practice location

311 4 E Judges Road
Wilmington, NC 28405

Mailing address

311 4 E Judges Road
Wilmington, NC 28405
Phone (910) 791-6767

Other names 1

  • A101 Doing business as

National Provider Directory

National Provider Directory
Part of
Addictioncare 101

NPI Registry JSON

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539129600000",
    "number": "1447725098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 4 E JUDGES ROAD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28405",
            "telephone_number": "910-791-6767",
            "fax_number": "910-399-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 4 E JUDGES ROAD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28405",
            "telephone_number": "910-791-6767",
            "fax_number": "910-399-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTIONCARE 101",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADDICTIONCARE 101",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICE",
        "authorized_official_telephone_number": "910-791-6767"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A101",
            "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 Oct 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.