Active NPI
Samantha Tallman, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Wilmington, NC
National Provider Identifier
1851229173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 5024453
- Practice address
- 1414 Medical Center Dr
Wilmington, NC 28401-7505 - Phone
- (910) 790-9949
- NPI assigned
- May 8, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5024453 | NC | Primary |
Addresses
Primary practice location
1414 Medical Center Dr
Wilmington, NC 28401-7505
Mailing address
615 Shipyard Blvd
Wilmington, NC 28412-6431
Phone (910) 343-0145
Other practice location 1
6 Doctors Cir Ste 1
Supply, NC 28462-6358
Phone (910) 754-4238
Other practice location 2
301 Mercer Mill Rd
Elizabethtown, NC 28337-3960
Phone (910) 202-3155
Other practice location 3
4036 Bus 17 E
Building 600
Boliva, NC 28422
Phone (910) 703-8800
Other practice location 4
1806 S 15th St
Wilmington, NC 28401-6479
Phone (910) 772-2515
Other practice location 5
1496 Hwy 701 N
Elizabethtown, NC 28337
Phone (910) 202-3155
Other practice location 6
2700 N College Rd
Wilmington, NC 28405-8816
Phone (910) 790-9949
Other practice location 7
309 Progress Dr
Burgaw, NC 28425-3280
Phone (910) 259-0668
Other practice location 8
120 Coastal Horizons Dr
Shallotte, NC 28470-6094
Phone (910) 754-4515
Other practice location 9
2012 Wt Whitehead Dr
Jacksonville, NC 28546-8409
Phone (910) 526-1631
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5024453 | NC | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1851229173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 SHIPYARD BLVD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284126431",
"telephone_number": "910-343-0145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 MEDICAL CENTER DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017505",
"telephone_number": "910-790-9949"
}
],
"practiceLocations": [
{
"address_1": "6 Doctors Cir Ste 1",
"address_purpose": "LOCATION",
"city": "Supply",
"state": "NC",
"postal_code": "284626358",
"country_code": "US",
"telephone_number": "910-754-4238",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "301 Mercer Mill Rd",
"address_purpose": "LOCATION",
"city": "Elizabethtown",
"state": "NC",
"postal_code": "283373960",
"country_code": "US",
"telephone_number": "910-202-3155",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4036 Bus 17 E",
"address_2": "Building 600",
"address_purpose": "LOCATION",
"city": "Boliva",
"state": "NC",
"postal_code": "28422",
"country_code": "US",
"telephone_number": "910-703-8800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1806 S 15th St",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284016479",
"country_code": "US",
"telephone_number": "910-772-2515",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1496 Hwy 701 N",
"address_purpose": "LOCATION",
"city": "Elizabethtown",
"state": "NC",
"postal_code": "28337",
"country_code": "US",
"telephone_number": "910-202-3155",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2700 N College Rd",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284058816",
"country_code": "US",
"telephone_number": "910-790-9949",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "309 Progress Dr",
"address_purpose": "LOCATION",
"city": "Burgaw",
"state": "NC",
"postal_code": "284253280",
"country_code": "US",
"telephone_number": "910-259-0668",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "120 Coastal Horizons Dr",
"address_purpose": "LOCATION",
"city": "Shallotte",
"state": "NC",
"postal_code": "284706094",
"country_code": "US",
"telephone_number": "910-754-4515",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2012 Wt Whitehead Dr",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "NC",
"postal_code": "285468409",
"country_code": "US",
"telephone_number": "910-526-1631",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TALLMAN",
"first_name": "SAMANTHA",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-08",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "5024453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.