NPIMap

Organization Active NPI

Pelican Family Medicine

Doing business as Pelican Wellness - Non-Narcotic Pain Management

  • Family Medicine Physician
  • Warsaw, NC
National Provider Identifier
1710528831
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PELICAN FAMILY MEDICINE
Doing business as
Pelican Wellness - Non-Narcotic Pain Management
Practice address
603 E College St
Warsaw, NC 28398-2104
Phone
(855) 566-7246
Fax
(855) 566-7246
NPI assigned
Sep 30, 2019
Last updated
Sep 30, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
PELICAN FAMILY MEDICINE, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Authorized official

Name
Mark Samuel Thomas Armitage, MDNPI 1912952847
Title
Owner/Physician
Phone
(910) 792-1001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

603 E College St
Warsaw, NC 28398-2104

Mailing address

5429 Wrightsville Ave
Wilmington, NC 28403-6513

Other names 1

  • Pelican Wellness - Non-Narcotic Pain Management Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081119000282 NC Part B Supplier - Clinic/Group Practice 0941360010 Receives reassigned benefits from 10 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wilmington, NC

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory
Part of
Pelican Family Medicinep

Ownership & related parties

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.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1710528831",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 E COLLEGE ST",
            "city": "WARSAW",
            "state": "NC",
            "postal_code": "283982104",
            "telephone_number": "855-566-7246",
            "fax_number": "855-566-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELICAN FAMILY MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PELICAN FAMILY MEDICINE, P.A.",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "ARMITAGE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "SAMUEL THOMAS",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "910-792-1001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pelican Wellness - Non-Narcotic Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warsaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.