Senior Care Systems, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

68426 Issued in NC

Legal business name

SENIOR CARE SYSTEMS, P.A.

Practice address

1013 Porters Neck Rd
Suite 100
Wilmington, NC 28411

Phone

(910) 686-1099

Fax

(910) 686-4715

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Audrey L Sutton-Surak, D.O.NPI 1922080811

Title

President

Phone

(910) 686-1099

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Audrey Lynn Sutton-Surak, DO

  • Family Medicine Physician
  • Wilmington, NC
  • NPI 1922080811
  Medicare reassignment Care Compare group NPD Authorized official
• Belinda J McPherson, MD

  • Family Medicine Physician
  • Wilmington, NC
  • NPI 1609987197
  Medicare reassignment Care Compare group NPD
• Edith Lyneet Pearsall, FNP

  • Family Nurse Practitioner
  • Wilmington, NC
  • NPI 1033255369
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533513600000",
    "number": "1821168055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 PORTERS NECK RD",
            "address_2": "SUITE100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284118130",
            "telephone_number": "910-686-1099",
            "fax_number": "910-686-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 PORTERS NECK RD",
            "address_2": "SUITE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28411",
            "telephone_number": "910-686-1099",
            "fax_number": "910-686-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE SYSTEMS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2018-08-06",
        "status": "A",
        "authorized_official_last_name": "SUTTON-SURAK",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-686-1099",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "68426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890164H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen C. Selz, MA
• Evelyn Champayne Semidey, LMBT
• Cindi Semken, LPTA
• Mark Semken
• Brady James Semmel, D.M.D., M.D.
• Senior Choices Unlimited
• Senior Choices Unlimited LLC
• Senior Health Associates, P.a.
• Senior Management Inc
• Senior Management Inc

• Family Medicine Physician in Wilmington, NC
• Providers in Wilmington, 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 Aug 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.