Jill Tonner, MD
Individual provider Active NPI Surgical Critical Care Physician · Wilmington, NC
NPI 1659900629 · NPPES record last updated Aug 30, 2026
Key facts
- NPI
- 1659900629
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Critical Care Physician 2086S0102X
- License
- MD-25390-0 (HI)
- Practice address
- 2131 S 17TH St
Wilmington, NC 28401-7407 - Phone
- (910) 343-7000
- Fax
- (910) 667-5650
- NPI assigned
- Apr 2, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200630002317 | NC | Order and Referring Only - General Practice |
5092138586 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-25390-0 | HI | MD | Surgical Critical Care Physician |
| 261371 | NC | MD | Student in an Organized Health Care Education/Training Program |
Interoperability endpoints
- jkanney1247930@direct.novanthealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | MD-25390-0 | HI | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X | 261371 | NC |
Addresses
Primary practice location
2131 S 17TH St
Wilmington, NC 28401-7407
Mailing address
1726 New Hanover Medical Park Dr
Wilmington, NC 28403-5344
Phone (910) 662-9384
Other names
- Jill Kanney
NPI Registry JSON
{
"created_epoch": "1585785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788048000000",
"number": "1659900629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1726 NEW HANOVER MEDICAL PARK DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284035344",
"telephone_number": "910-662-9384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2131 S 17TH ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017407",
"telephone_number": "910-343-7000",
"fax_number": "910-667-5650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TONNER",
"first_name": "JILL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-02",
"last_updated": "2026-08-30",
"certification_date": "2026-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "HI",
"license": "MD-25390-0",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": "261371",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JILL",
"last_name": "KANNEY",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.