Organization Active NPI

North Whiteville Urgent Care & Family Practice, PA

  • Urgent Care Clinic/Center
  • Whiteville, NC
National Provider Identifier
1477813772
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
29495 Issued in NC
Legal business name
NORTH WHITEVILLE URGENT CARE & FAMILY PRACTICE, PA
Practice address
614 N JK Powell Blvd
Whiteville, NC 28472-3008
Phone
(910) 640-2009
Fax
(901) 640-3036
NPI assigned
May 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Authorized official

Name
James Pridgen, M.D.
Title
Medical Director/Owner
Phone
(910) 640-2009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 29495 NC Primary

Addresses

Primary practice location

614 N JK Powell Blvd
Whiteville, NC 28472-3008

Mailing address

614 N JK Powell Blvd
Whiteville, NC 28472-3008
Phone (910) 640-2009

Other identifiers 1

IdentifierTypeStateIssuer
89012TPMedicaidNC

National Provider Directory

National Provider Directory

Locations

614 N Jk Powell Blvd
Whiteville, NC 28472
Phone (910) 640-2009

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2160/brand/24/csg/26/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1477813772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 N JK POWELL BLVD",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723008",
            "telephone_number": "910-640-2009",
            "fax_number": "910-640-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 N JK POWELL BLVD",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723008",
            "telephone_number": "910-640-2009",
            "fax_number": "901-640-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH WHITEVILLE URGENT CARE & FAMILY PRACTICE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "PRIDGEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "910-640-2009",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NC",
            "license": "29495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89012TP",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.