NPIMap

Individual provider Active NPI

Philip Wayne Bibb, PAC

  • Internal Medicine Physician
  • Wilmington, NC
National Provider Identifier
1598827180
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
NC101625 Issued in NC
Practice address
2207 Delaney Ave
Wilmington, NC 28403-6010
Phone
(910) 763-3481
Fax
(910) 763-3485
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NC101625 NC Primary

Addresses

Primary practice location

2207 Delaney Ave
Wilmington, NC 28403-6010

Mailing address

2207 Delaney Ave
Wilmington, DC 28403-6010
Phone (910) 763-3481

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
I20031217000934 NC Practitioner - Physician Assistant 5991602815

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2207 Delaney Ave
Wilmington, NC 28403-6010

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
26.97 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
89.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NC101625NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Family Practice & Internal Medicine Internal Medicine CurrentSince Aug 1, 2012 Accepting new patients
Wrightsboro Family Practice and Urgent Care LLC Past Accepting new patients

Locations

2207 Delaney Ave
Wilmington, NC 28403
Phone (910) 763-3481

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1598827180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 DELANEY AVE",
            "city": "WILMINGTON",
            "state": "DC",
            "postal_code": "284036010",
            "telephone_number": "910-763-3481",
            "fax_number": "910-763-3485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 DELANEY AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036010",
            "telephone_number": "910-763-3481",
            "fax_number": "910-763-3485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIBB",
        "first_name": "PHILIP",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "NC101625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.