Wilmington Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WILMINGTON FAMILY PRACTICE

Doing business as

Wilmington Family Practice

Practice address

201 N Front St Ste 102
Wilmington, NC 28401-4055

Phone

(910) 500-6451

Fax

(910) 500-5864

NPI assigned

Oct 2, 2019

Last updated

Oct 2, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tina Hudson

Title

Office Manager

Phone

(910) 538-6228

Specialties & licenses 1

Addresses

Other names 1

• WILMINGTON FAMILY PRACTICE Doing business as

Electronic endpoints 3

Tax ID family

Center for Quality Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wilmington Family Practice PLLC

  dba Center For Quality Care

  • Primary Care Clinic/Center
  • Bolivia, NC
  • NPI 1194361923
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward Marvin McKeithan, NP

  • Family Nurse Practitioner
  • Bolivia, NC
  • NPI 1821295668
  NPD (past)

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1588205397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N FRONT ST STE 102",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284014055",
            "telephone_number": "910-500-6451",
            "fax_number": "910-500-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N FRONT ST STE 102",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284014055",
            "telephone_number": "910-500-6451",
            "fax_number": "910-500-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "910-538-6228"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WILMINGTON",
            "affiliation": "N",
            "endpointDescription": "clinic",
            "address_1": "201 N Front St Ste 102",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284014055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WILMINGTON",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "201 N Front St Ste 102",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284014055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WILMINGTON",
            "affiliation": "N",
            "endpointDescription": "clinic",
            "address_1": "201 N Front St Ste 102",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284014055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "WILMINGTON FAMILY PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wilmington Eye, P.a.
• Wilmington Eye, P.a.
• Wilmington Family Physicians
• Wilmington Family Physicians PA
• Wilmington Family Physicians PA
• Wilmington Family Practice PLLC
• Wilmington Fertility Center PLLC
• Wilmington Gastroenterology Associates,PA
• Wilmington Gastroenterology Endoscopy Center, Inc
• Wilmington Hand Therapy Limited Partnership (Hand Therapy of Wilmington)

• Family Medicine Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.