Pelican Family Medicine Downtown

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PELICAN FAMILY MEDICINE DOWNTOWN

Practice address

119 Chestnut St
Wilmington, NC 28401-3940

Phone

(910) 332-7900

Fax

(910) 332-7905

NPI assigned

Nov 6, 2017

Organization subpart

Yes

Parent organization

PELICAN FAMILY MEDICINE, P.A.As reported in NPPES

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

Authorized official

Name

Mark Samuel Thomas Armitage, MD

Title

Owner Provider

Phone

(910) 332-7900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Pelican Family Medicine

  dba Pelican Wellness - Non-Narcotic Pain Management

  • Family Medicine Physician
  • Warsaw, NC
  • NPI 1710528831

  O20081119000282

  Same enrollment
• Pelican Family Medicine at Monkey Junction

  • Family Medicine Physician
  • Wilmington, NC
  • NPI 1588811285

  O20081119000282

  Same enrollment
• Pelican Family Medicine, P.a.

  • Family Medicine Physician
  • Hampstead, NC
  • NPI 1093982605

  O20081119000282

  Same enrollment
• Pelican Family Medicine, P.a.

  dba Pelican Family Medicine at Physicians Drive

  • Family Medicine Physician
  • Wilmington, NC
  • NPI 1326678236

  O20081119000282

  Same enrollment
• Pelican Family Medicine, P.a.

  • Family Medicine Physician
  • Wilmington, NC
  • NPI 1669480042

  O20081119000282

  Same enrollment

Part of

Pelican Family Medicinep

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Pelican Family Medicine, P.a.

  • Family Medicine Physician
  • Wilmington, NC
  • NPI 1669480042
  NPPES parent name

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.

• Sandhya Thomas-Montilus, MD

  • Internal Medicine Physician
  • Lumberton, NC
  • NPI 1720047194
  NPD

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509926400000",
    "number": "1639682230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5429 WRIGHTSVILLE AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036513",
            "telephone_number": "910-332-7900",
            "fax_number": "910-332-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 CHESTNUT ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284013940",
            "telephone_number": "910-332-7900",
            "fax_number": "910-332-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELICAN FAMILY MEDICINE DOWNTOWN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PELICAN FAMILY MEDICINE, P.A.",
        "enumeration_date": "2017-11-06",
        "last_updated": "2017-11-06",
        "status": "A",
        "authorized_official_last_name": "ARMITAGE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "SAMUEL THOMAS",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "910-332-7900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Brooke Peeler, FNP
• Amanda King Peeters, LCSW
• Yvonne Peklaris, PT
• Pelican Counseling Services, PLLC
• Pelican Family Medicine at Monkey Junction
• Pelican Family Medicine, P.a. (Pelican Family Medicine at Physicians Drive)
• Pelican Family Medicine, P.a.
• Amanda Lee Pelkey
• Kevin Joseph Pelkowski
• Benjamin Hunter Pellegrin, FNP

• 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 Nov 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.