Active NPI
Mary Allen Carter
- Pediatrics Physician
- Wilmington, NC
National Provider Identifier
1790747368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- BC1541209
- Practice address
- 1628 Doctors Cir
Wilmington, NC 28401-7406 - Phone
- (910) 763-2476
- Fax
- (910) 763-8176
- NPI assigned
- Apr 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | BC1541209 | NC | Primary |
Addresses
Primary practice location
1628 Doctors Cir
Wilmington, NC 28401-7406
Mailing address
1628 Doctors Cir
Wilmington, NC 28401-7406
Phone (910) 763-2476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BC1541209 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/4693/brand/6/csg/1/fhir/r4
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.
-
- Point of Service
- Wilmington, NC
- NPI 1346201340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296518400000",
"number": "1790747368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1628 DOCTORS CIR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017406",
"telephone_number": "910-763-2476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1628 DOCTORS CIR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017406",
"telephone_number": "910-763-2476",
"fax_number": "910-763-8176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "MARY",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-06",
"last_updated": "2011-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "BC1541209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.