Individual provider Active NPI

Pamela Novosel, MD

  • Gynecology Physician
  • Wilmington, NC
National Provider Identifier
1821299272
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
2009-00571 Issued in NC
Practice address
736 Medical Center Dr Ste 102
Wilmington, NC 28401-4250
Phone
(910) 452-3666
Fax
(910) 397-0930
NPI assigned
May 31, 2007
Last updated
Dec 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 2009-00571 NC Primary

Addresses

Primary practice location

736 Medical Center Dr Ste 102
Wilmington, NC 28401-4250

Mailing address

736 Medical Center Dr Ste 102
Wilmington, NC 28401-4250
Phone (910) 452-3666

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
I20090827000583 NC Practitioner - Obstetrics/Gynecology 4981759941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Brody School of Medicine at East Carolina University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Azalea Gynecology PAGroup PAC ID 5799157749, 2 clinicians

Practice addresses (Care Compare)

736 Medical Ctr Dr
Suite 102
Wilmington, NC 28401-4250
Phone (910) 452-3666

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009-00571NCMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Azalea Gynecology PA CurrentSince Jan 1, 2023 Accepting new patients

Locations

736 Medical Center Dr
Ste 102
Wilmington, NC 28401
Phone (910) 452-3666

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1821299272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 MEDICAL CENTER DR STE 102",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284014250",
            "telephone_number": "910-452-3666",
            "fax_number": "910-397-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 MEDICAL CENTER DR STE 102",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284014250",
            "telephone_number": "910-452-3666",
            "fax_number": "910-397-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVOSEL",
        "first_name": "PAMELA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NC",
            "license": "2009-00571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.