NPIMap

Individual provider Active NPI

Caroline White Marshburn

  • Physician Assistant
  • Wilmington, NC
National Provider Identifier
1699239277
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-08762 Issued in NC
Practice address
2208 S 17TH St
Wilmington, NC 28401-7593
Phone
(910) 763-3333
Fax
(910) 763-3336
NPI assigned
Jan 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-08762 NC Primary

Addresses

Primary practice location

2208 S 17TH St
Wilmington, NC 28401-7593

Mailing address

3630 Detrick Dr Unit 103
Raleigh, NC 27609-7086

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
I20190410001671 NC Practitioner - Physician Assistant 3173864667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Brain and Spine, P.a.Group PAC ID 0840215786, 22 clinicians

Practice addresses (Care Compare)

2208 S 17TH St
Suite 201
Wilmington, NC 28401-7594
Phone (910) 763-3333

2800 Ashton Dr
Suite 200
Wilmington, NC 28412-2486
Phone (910) 799-2262

Hospital & facility affiliations

  • Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141
  • Novant Health Brunswick Medical Center Hospital, Supply, NC, CCN 340158
  • J Arthur Dosher Memorial Hospital Hospital, Southport, NC, CCN 341327
  • Cape Fear Valley Medical Center Hospital, Fayetteville, NC, CCN 340028
  • Pender Memorial Hospital Hospital, Burgaw, NC, CCN 341307

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-08762NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Brain and Spine, P.a. CurrentSince Aug 15, 2022 Accepting new patients

Locations

2208 S 17th St
Wilmington, NC 28401
Phone (910) 763-3333

2208 S 17th St
Ste 201
Wilmington, NC 28401
Phone (910) 763-3333

Interoperability endpoints

  • Direct secure messaging: carolinemarshburn@huc.allscriptsdirect.net
  • Direct secure messaging: cmarshburn1157862@direct.novanthealth.org

Organizations & group practices 1

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 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1699239277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 DETRICK DR UNIT 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017593",
            "telephone_number": "910-763-3333",
            "fax_number": "910-763-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHBURN",
        "first_name": "CAROLINE",
        "middle_name": "WHITE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-08762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.