Individual provider Active NPI

Mark Anthony Versnick, MD

  • Surgery Physician
  • Wilmington, NC
National Provider Identifier
1811146533
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2011-01435 Issued in NC
Practice address
2739 Iron Gate Dr
Wilmington, NC 28412-3731
Phone
(910) 763-7363
Fax
(910) 251-8296
NPI assigned
Sep 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X TRN9753 FL
Surgery Physician 208600000X 2011-01435 NC Primary

Addresses

Primary practice location

2739 Iron Gate Dr
Wilmington, NC 28412-3731

Mailing address

2739 Iron Gate Dr
Wilmington, NC 28412-3731
Phone (910) 763-7363

Other practice location 1

1725 New Hanover Medical Park Dr
Wilmington, NC 28403-5345
Phone (910) 662-9300

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120813000260 NC Practitioner - General PracticePractitioner - General Surgery 6002062783 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: General Surgery
Education
University of South Carolina School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilmington Surgical Associates PAGroup PAC ID 0749186575, 9 clinicians

Practice addresses (Care Compare)

1414 Medical Ctr Dr
Wilmington, NC 28401-7505
Phone (910) 763-7363

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)17
Melanoma (skin cancer) excision1-10
Removal of tissue388
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TRN9753FLMDSurgery Physician
2011-01435NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health New Hanover Regional Medical Center LLC Current Accepting new patients
Novant Health New Hanover Regional Medical Center LLC Surgery CurrentSince Feb 1, 2021 Accepting new patients
Novant Health New Hanover Regional Medical Center LLC CurrentSince Feb 1, 2021 Accepting new patients
Coastal Vascular Institute, PA Surgery CurrentSince Aug 15, 2012 Accepting new patients
Wilmington Surgical Associates PA CurrentSince Sep 1, 2020 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Current Accepting new patients
NMG Health Services LLC CurrentSince May 1, 2021 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Surgery 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

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

2739 Iron Gate Dr
Wilmington, NC 28412
Phone (910) 763-7363

2259 S 17th St
Wilmington, NC 28401
Phone (910) 662-8600

1414 Medical Center Dr
Wilmington, NC 28401
Phone (910) 763-7363

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

2221 S 17th St
Wilmington, NC 28401
Phone (910) 662-7720

1725 New Hanover Medical Park Dr
Wilmington, NC 28403
Phone (910) 662-9300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFAIBD
  • Direct secure messaging: mversnick920081@direct.novanthealth.org
  • FHIR API: https://api.platform.athenahealth.com/11560/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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 4

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": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1811146533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2739 IRON GATE DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284123731",
            "telephone_number": "910-763-7363",
            "fax_number": "910-251-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2739 IRON GATE DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284123731",
            "telephone_number": "910-763-7363",
            "fax_number": "910-251-8296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1725 New Hanover Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284035345",
            "country_code": "US",
            "telephone_number": "910-662-9300",
            "fax_number": "910-662-2401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERSNICK",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-17",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "TRN9753",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2011-01435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.