Individual provider Active NPI

Paul Daniel Theiss, PA

  • Physician Assistant
  • Wilmington, NC
National Provider Identifier
1801198726
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001004185 Issued in NC
Practice address
2800 Ashton Dr
200
Wilmington, NC 28412-2575
Phone
(910) 799-2262
Fax
(910) 799-2943
NPI assigned
Nov 29, 2010
Last updated
Mar 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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 001004185 NC Primary

Addresses

Primary practice location

2800 Ashton Dr
200
Wilmington, NC 28412-2575

Mailing address

PO Box 936857
Atlanta, GA 31193-6857
Phone (910) 343-0811

Other practice location 1

2131 S 17th St
Wilmington, NC 28401-7407
Phone (910) 772-9202 ext. 402

Other practice location 2

1411 Physicians Dr
Wilmington, NC 28401-7338
Phone (910) 343-0811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150112000843 NC Practitioner - Physician Assistant 2365623048 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1415 Physicians Dr
Wilmington, NC 28401-7338
Phone (910) 662-9500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001004185NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
NMG Health Services LLC CurrentSince Feb 8, 2026 Accepting new patients
Novant Health Medical Group Coastal Region, LLC CurrentSince Feb 8, 2026 Accepting new patients
Atlantic Brain and Spine, P.a. Past Accepting new patients
Coastal Vascular Institute, PA Past Accepting new patients
Wilmington Health PLLC Past Accepting new patients
New Hanover Regional Medical Center Past Accepting new patients

Locations

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

1411 Physicians Dr
Wilmington, NC 28401
Phone (910) 343-0811

1415 Physicians Dr
Wilmington, NC 28401
Phone (910) 251-3766

1500 Physicians Dr
Wilmington, NC 28401
Phone (910) 736-6332

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

Interoperability endpoints

  • Direct secure messaging: ptheiss1158032@direct.novanthealth.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1290988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1801198726",
    "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",
            "telephone_number": "910-343-0811",
            "fax_number": "910-343-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 ASHTON DR",
            "address_2": "200",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122575",
            "telephone_number": "910-799-2262",
            "fax_number": "910-799-2943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2131 S 17th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017407",
            "country_code": "US",
            "telephone_number": "910-772-9202 x402",
            "fax_number": "910-772-9452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1411 Physicians Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017338",
            "country_code": "US",
            "telephone_number": "910-343-0811",
            "fax_number": "910-343-5719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THEISS",
        "first_name": "PAUL",
        "middle_name": "DANIEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-29",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001004185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.