Individual provider Active NPI

Kelly Mulligan Britt, P.A.-C

  • Physician Assistant
  • Wilmington, NC
National Provider Identifier
1477511848
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001000116 Issued in NC
Practice address
1099 Medical Center Dr
Wilmington, NC 28401-7346
Phone
(910) 251-9944
Fax
(910) 763-4666
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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 001000116 NC Primary

Addresses

Primary practice location

1099 Medical Center Dr
Wilmington, NC 28401-7346

Mailing address

1099 Medical Center Dr
Wilmington, NC 28401-7346
Phone (910) 251-9944

Other identifiers 1

IdentifierTypeStateIssuer
001000116OtherNCSTATE LIC

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
I20090716000757 NC Practitioner - Physician Assistant 2860544137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilmington Dermatology Center PLLCGroup PAC ID 0042385627, 9 clinicians

Practice addresses (Care Compare)

710 Military Cutoff Rd
Suite 320
Wilmington, NC 28405-2382
Phone (910) 256-4350

Merit-based Incentive Payment System (MIPS)

Final score
93.52 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
78.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001000116NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vein Specialists of North Carolina, PA Past Accepting new patients
Dermone of North Carolina PA PastSince Jan 1, 2018 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1477511848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017346",
            "telephone_number": "910-251-9944",
            "fax_number": "910-763-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017346",
            "telephone_number": "910-251-9944",
            "fax_number": "910-763-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRITT",
        "first_name": "KELLY",
        "middle_name": "MULLIGAN",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001000116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC",
            "identifier": "001000116",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.