Individual provider Active NPI

Rand Riley Pennington, FNP

  • Nurse Practitioner
  • Wilmington, NC
National Provider Identifier
1497029953
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5005537 Issued in NC
Practice address
1960 S 16TH St
Wilmington, NC 28401-6676
Phone
(910) 343-9991
Fax
(910) 550-3787
NPI assigned
Mar 1, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5005537 NC Primary

Addresses

Primary practice location

1960 S 16TH St
Wilmington, NC 28401-6676

Mailing address

PO Box 936857
Atlanta, GA 31193-6857
Phone (910) 662-6000

Other practice location 1

7420 Market St
Wilmington, NC 28411-9453
Phone (910) 686-2525

Other practice location 2

5145 S College Rd
Wilmington, NC 28412-2207
Phone (910) 792-1144

Other practice location 3

1960 S 16th St
Wilmington, NC 28401-6676
Phone (910) 259-0400

Other practice location 4

7910 US Hwy 117 S
Unit 120
Rocky Point, NC 28457-9431
Phone (910) 300-4500

Electronic endpoints 1

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

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
I20120511000355 NC Practitioner - Nurse Practitioner 4688837594 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wilmington Health PLLCGroup PAC ID 6103722509, 364 clinicians
Novant Health Medical Group Coastal Region LLCGroup PAC ID 2860809936, 577 clinicians
East Carolina Anesthesia Associates PLLCGroup PAC ID 5092720813, 691 clinicians

Practice addresses (Care Compare)

1202 Medical Ctr Dr
Wilmington, NC 28401-7307
Phone (910) 341-1540

1960 S 16TH St
Wilmington, NC 28401-6676
Phone (910) 662-6000

2800 Ashton Dr
Suite 100
Wilmington, NC 28412-2486
Phone (910) 794-8892

Hospital & facility affiliations

  • Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina Anesthesia Associates, PLLC CurrentSince Aug 15, 2021 Accepting new patients
Wilmington Health PLLC CurrentSince Feb 18, 2016 Accepting new patients
Novant Health Medical Group Coastal Region, LLC CurrentSince May 1, 2021 Accepting new patients
NMG Health Services LLC CurrentSince May 1, 2021 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Current Accepting new patients
Wilmington ASC LLC CurrentSince Feb 18, 2016 Accepting new patients

Locations

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

2080 W Arlington Blvd
Ste B
Greenville, NC 27834
Phone (252) 752-2140

7910 US Hwy 117 S
Unit 120
Rocky Point, NC 28457
Phone (910) 259-0400

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

5145 College Rd S
Wilmington, NC 28412
Phone (910) 662-6000

1960 S 16th St
Wilmington, NC 28401
Phone (910) 343-9991

7420 Market St
Wilmington, NC 28411
Phone (910) 662-6200

2800 Ashton Dr
Ste 100
Wilmington, NC 28412
Phone (910) 794-8842

1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

1801 S 17th St
Wilmington, NC 28401
Phone (910) 763-4555

Interoperability endpoints

  • Direct secure messaging: rand.pennington.p1@direct.wilmingtonhealth.nextgenshare.com
  • Direct secure messaging: rpennington1084031@direct.novanthealth.org

Organizations & group practices 6

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": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1497029953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936857",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311936857",
            "telephone_number": "910-662-6000",
            "fax_number": "910-341-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 S 16TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016676",
            "telephone_number": "910-343-9991",
            "fax_number": "910-550-3787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7420 Market St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284119453",
            "country_code": "US",
            "telephone_number": "910-686-2525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5145 S College Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284122207",
            "country_code": "US",
            "telephone_number": "910-792-1144",
            "fax_number": "910-550-3787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1960 S 16th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284016676",
            "country_code": "US",
            "telephone_number": "910-259-0400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7910 US Hwy 117 S",
            "address_2": "Unit 120",
            "address_purpose": "LOCATION",
            "city": "Rocky Point",
            "state": "NC",
            "postal_code": "284579431",
            "country_code": "US",
            "telephone_number": "910-300-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "RAND",
        "middle_name": "RILEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-01",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5005537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ambulatory@direct.carolinashealthcare.org",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "1960 S 16th St",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284016676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.