Christopher F Donovin, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

102817 Issued in NC

Practice address

2632-3 Carolina Beach Road
Wilmington, NC 28412-1806

Phone

(910) 409-0922

Fax

(910) 794-3938

NPI assigned

May 15, 2006

Last updated

Jan 25, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Snowy Mountain Management PLLCGroup PAC ID 6800980327, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Snowy Mountain Management PLLC

  dba Shipyard Medical Center

  • Primary Care Clinic/Center
  • Wilmington, NC
  • NPI 1306050588
  Medicare reassignment Care Compare group
• Wrightsboro Family Practice and Urgent Care LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Wilmington, NC
  • NPI 1962456145
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1649221359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 WETLAND DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122726",
            "telephone_number": "910-409-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2632-3 CAROLINA BEACH ROAD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284121806",
            "telephone_number": "910-409-0922",
            "fax_number": "910-794-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVIN",
        "first_name": "CHRISTOPHER",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "102817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Donatone, OCCUPATIONAL THERAPI
• Brian Donner, D.O.
• Mary Ann Donohue, PT
• John Scott Donovan, P.T.
• Kenneth Donovan, D.C.
• Kyle W Dore, PA-C
• George Dorman
• Linda Dorman, MSW, LMSW, LCAS
• David Samuel Dorsey, LCSW, OTR/L, LSSW
• Teresa Louise Doss, 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 Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.