NPIMap

Individual provider Active NPI

Austin Robert Pippin, PA

  • Physician Assistant
  • Wilmington, NC
National Provider Identifier
1487200283
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-10278 Issued in NC
Practice address
2208 S 17TH St
Wilmington, NC 28401-7593
Phone
(910) 763-3333
Fax
(910) 763-3336
NPI assigned
Aug 16, 2019
Last updated
Aug 23, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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 0010-10278 NC Primary

Addresses

Primary practice location

2208 S 17TH St
Wilmington, NC 28401-7593

Mailing address

2208 S 17TH St
Wilmington, NC 28401-7593
Phone (910) 763-3333

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Ambulatory@direct.carolinashealthcare.org Atrium Health
Direct Messaging Address apippin134576@direct.nhrmc.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201028001324 NC Practitioner - Physician Assistant 1951711225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Brain and Spine, P.a.Group PAC ID 0840215786, 22 clinicians

Practice addresses (Care Compare)

2208 S 17TH St
Suite 201
Wilmington, NC 28401-7594
Phone (910) 763-3333

2800 Ashton Dr
Suite 200
Wilmington, NC 28412-2486
Phone (910) 799-2262

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Neurosurgical & Spine Specialist, P.a CurrentSince Jun 27, 2022 Accepting new patients

Locations

2208 S 17th St
Wilmington, NC 28401
Phone (910) 763-3333

2208 S 17th St
Ste 201
Wilmington, NC 28401
Phone (910) 763-3333

Interoperability endpoints

  • Direct secure messaging: apippin735266@direct.novanthealth.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1487200283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017593",
            "telephone_number": "910-763-3333",
            "fax_number": "910-763-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017593",
            "telephone_number": "910-763-3333",
            "fax_number": "910-763-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPPIN",
        "first_name": "AUSTIN",
        "middle_name": "ROBERT",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-16",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-10278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ambulatory@direct.carolinashealthcare.org",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "2131 S 17th St",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284017407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apippin134576@direct.nhrmc.org",
            "affiliation": "N",
            "endpointDescription": "apippin134576@direct.nhrmc.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2131 S 17th St",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284017407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.