Active NPI
Elizabeth Anne Wolf, M.D.
- Obstetrics Physician
- Jacksonville, NC
National Provider Identifier
1518982792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 200001032
- Practice address
- 245 Memorial Dr
Jacksonville, NC 28546-6333 - Phone
- (910) 353-4333
- Fax
- (910) 353-6529
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 01064806A | IN | |
| Obstetrics Physician | 207VX0000X | 200001032 | NC | Primary |
Addresses
Primary practice location
245 Memorial Dr
Jacksonville, NC 28546-6333
Mailing address
245 Memorial Dr
Jacksonville, NC 28546-6333
Phone (910) 353-4333
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89127CR | Medicaid | NC | |
| 127CR | Other | NC | NCBCBS |
| A0452 | Other | NC | MEDCOST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01064806A | IN | MD | Obstetrics & Gynecology Physician |
| 200001032 | NC | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastover Obstetrics and Gynecology Associates Inc | Obstetrics & Gynecology | Past | Accepting new patients |
| Eastover Obstetrics and Gynecology Associates Inc | Obstetrics & Gynecology | Past | Accepting new patients |
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.
-
dba Atrium Health Women's Care Eastover OB/GYN
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1518982768
-
dba Atrium Health Women's Care Eastover OB/GYN
- Obstetrics & Gynecology Physician
- Indian Trail, NC
- NPI 1548598857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288828800000",
"number": "1518982792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 MEMORIAL DR",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466333",
"telephone_number": "910-353-4333",
"fax_number": "910-353-6529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 MEMORIAL DR",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466333",
"telephone_number": "910-353-4333",
"fax_number": "910-353-6529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2010-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IN",
"license": "01064806A",
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "NC",
"license": "200001032",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89127CR",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCBCBS",
"identifier": "127CR",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "A0452",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.