Individual provider Active NPI

Laura Ann Ivey, PA-C

  • Medical Physician Assistant
  • Wilmington, NC
National Provider Identifier
1578848735
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0010-03172 Issued in NC
Practice address
2208 S 17TH St
Wilmington, NC 28401-7593
Phone
(910) 763-3333
Fax
(910) 763-3336
NPI assigned
Oct 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-03172 NC
Medical Physician Assistant 363AM0700X 0010-03172 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

Other practice location 1

3205 Randall Pkwy Ste 105
Wilmington, NC 28403-2565
Phone (910) 742-9243

Other identifiers 1

IdentifierTypeStateIssuer
0010-03172OtherNCNC LICENSE NUMBER

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
I20111201000781 NC Practitioner - Physician Assistant 1355516352 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Carolina Anesthesia Associates PLLCGroup PAC ID 5092720813, 691 clinicians

Practice addresses (Care Compare)

2430 Emerald PL
Suite 103
Greenville, NC 27834-5743
Phone (252) 752-2140

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-03172NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lifesource Prime Inc CurrentSince Mar 1, 2026 Accepting new patients
Atlantic Brain and Spine, P.a. CurrentSince Apr 6, 2020 Accepting new patients
Lifesource of North Carolina Physician Assistant CurrentSince Mar 1, 2026 Accepting new patients
Lifesource Prime Inc CurrentSince Mar 1, 2026 Accepting new patients
Lifesource of North Carolina Physician Assistant CurrentSince Mar 1, 2026 Accepting new patients

Locations

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

3205 Randall Pkwy
Ste 105
Wilmington, NC 28403
Phone (910) 338-2880

2800 Ashton Dr
Ste A
Wilmington, NC 28412
Phone (910) 794-8892

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

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

Interoperability endpoints

  • Direct secure messaging: laura.ivey@952.chartlogic.direct-ci.com

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": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1578848735",
    "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": [
        {
            "address_1": "3205 Randall Pkwy Ste 105",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284032565",
            "country_code": "US",
            "telephone_number": "910-742-9243",
            "fax_number": "888-746-1787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IVEY",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-03172",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-03172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LICENSE NUMBER",
            "identifier": "0010-03172",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.