Wilmington Medical Group PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WILMINGTON MEDICAL GROUP PA

Practice address

326 Columbus Corners Dr
Whiteville, NC 28472-4929

Phone

(910) 642-9876

Fax

(910) 251-7777

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

James Henry Pridgen, M.D.

Title

Medical Director

Phone

(910) 642-9876

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Whiteville Family Practice & Urgent Care PA Doing business as

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1821134339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925A OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032334",
            "telephone_number": "910-251-8851",
            "fax_number": "910-251-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 COLUMBUS CORNERS DR",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284724929",
            "telephone_number": "910-642-9876",
            "fax_number": "910-251-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON MEDICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "PRIDGEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "910-642-9876",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "012TP",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "230038",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89015U2",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whiteville Family Practice & Urgent Care PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Frances Williams-Stephens, LCSW
• Clarence Williams, LCAS,CCAS,CCS
• Elizabeth Ann Williams
• Wilmar Counseling, PLLC
• Wilmington Medical Group PA
• Bruce Wilson
• Sheila S Wilson, MA, CCC-SLP
• Mary Margaret Margaret Wooten Nealey, MED CCC-SLP
• Mickey Worthington, PHARMD
• Darius Antoine Wright, MAED

• Family Medicine Physician in Whiteville, NC
• Providers in Whiteville, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.