Individual provider Active NPI

Mawada Abbaker

  • Pediatrics Physician
  • Wilson, NC
National Provider Identifier
1629852587
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2025-03705 Issued in NC
Practice address
1705 Tarboro St SW
Wilson, NC 27893-3437
Phone
(252) 399-8040
NPI assigned
Aug 22, 2023
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2025-03705 NC Primary

Addresses

Primary practice location

1705 Tarboro St SW
Wilson, NC 27893-3437

Mailing address

4913 Summit PL NW Apt 807
Wilson, NC 27896-8169
Phone (810) 830-4274

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260227001328 NC Practitioner - Hospitalist 8426539339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3416 Valley Brook Rd
Nashville, TN 37215-2021

PO Box
Belfast, ME 04915

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2025-03705NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Wilson Physician Practices LLC CurrentSince Apr 1, 2026 Accepting new patients
DLP Wilson Physician Practices LLC Current Accepting new patients
DLP Wilson Physician Practices LLC CurrentSince Apr 1, 2026 Accepting new patients

Locations

1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040

2605 Forest Hills Rd SW
Ste A
Wilson, NC 27893
Phone (252) 243-0043

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1629852587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4913 SUMMIT PL NW APT 807",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278968169",
            "telephone_number": "810-830-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 TARBORO ST SW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933437",
            "telephone_number": "252-399-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBAKER",
        "first_name": "MAWADA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-22",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2025-03705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.