Individual provider Active NPI

Mary Tyson Turner, PA

  • Physician Assistant
  • Wilmington, NC
National Provider Identifier
1740418862
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-02797 Issued in NC
Practice address
2131 S 17TH St
Wilmington, NC 28401-7407
Phone
(910) 667-7000
Fax
(910) 815-5698
NPI assigned
Jun 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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 0010-02797 NC Primary

Addresses

Primary practice location

2131 S 17TH St
Wilmington, NC 28401-7407

Mailing address

PO Box 936857
Atlanta, GA 31193-6857

Other practice location 1

5145 S College Rd
Wilmington, NC 28412-2207
Phone (910) 792-1144

Other practice location 2

2131 S 17th St
Wilmington, NC 28401-7407
Phone (910) 815-5830

Other practice location 3

1960 S 16th St
Wilmington, NC 28401-6676
Phone (910) 343-9991

Other practice location 4

7420 Market St
Wilmington, NC 28411-9453
Phone (910) 686-2525

Other practice location 5

510 Carolina Bay Dr
Ste 110
Wilmington, NC 28403-2041
Phone (910) 662-6000

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Ambulatory@direct.carolinashealthcare.org Atrium Health
Direct Messaging Address mturner125595@direct.nhrmc.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110324000430 NC Practitioner - Physician Assistant 2365597234 Reassigns benefits to 1 organization
I20141003001373 SC Practitioner - Physician Assistant 2365597234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group Coastal Region LLC 577 clinicians

Practice addresses (Care Compare)

109 Scotts Hill Medical Dr
Wilimington, NC 28411-7983

151 Scotts Hill Medical Dr
Wilmington, NC 28411-7983
Phone (910) 662-1000

2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 667-5105

231 S 17TH St
Wilmington, NE 28401-7407
Phone (910) 667-5105

800 Jefferson St
Suite 112
Whiteville, NC 28472-3702
Phone (910) 662-9500

Hospital & facility affiliations

  • Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141
  • Columbus Regional Healthcare System Hospital, Whiteville, NC, CCN 340068
  • Novant Health Brunswick Medical Center Hospital, Supply, NC, CCN 340158
  • Onslow Memorial Hospital Hospital, Jacksonville, NC, CCN 340042
  • J Arthur Dosher Memorial Hospital Hospital, Southport, NC, CCN 341327

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NMG Health Services LLC CurrentSince May 1, 2021 Accepting new patients
Novant Health Medical Group Coastal Region, LLC CurrentSince May 1, 2021 Accepting new patients
New Hanover Medical Group PA Past Accepting new patients

Locations

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

510 Carolina Bay Dr
Ste 110
Wilmington, NC 28403
Phone (910) 662-6000

5145 College Rd S
Wilmington, NC 28412
Phone (910) 662-6000

109 Scotts Hill Medical Dr
#1
Wilmington, NC 28411

7420 Market St
Wilmington, NC 28411
Phone (910) 662-6200

1960 S 16th St
Wilmington, NC 28401
Phone (910) 343-9991

Interoperability endpoints

  • Direct secure messaging: mturner200452@direct.novanthealth.org

Organizations & group practices 6

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 9

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

NPI Registry JSON

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1740418862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936857",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311936857"
        },
        {
            "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": "910-667-7000",
            "fax_number": "910-815-5698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5145 S College Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284122207",
            "country_code": "US",
            "telephone_number": "910-792-1144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2131 S 17th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017407",
            "country_code": "US",
            "telephone_number": "910-815-5830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1960 S 16th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284016676",
            "country_code": "US",
            "telephone_number": "910-343-9991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7420 Market St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284119453",
            "country_code": "US",
            "telephone_number": "910-686-2525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 Carolina Bay Dr",
            "address_2": "Ste 110",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284032041",
            "country_code": "US",
            "telephone_number": "910-662-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TURNER",
        "first_name": "MARY",
        "middle_name": "TYSON",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-26",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-02797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ambulatory@direct.carolinashealthcare.org",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "510 Carolina Bay Dr",
            "address_2": "Ste 110",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284032041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mturner125595@direct.nhrmc.org",
            "affiliation": "N",
            "address_1": "2131 S 17th St",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284017407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.