Active NPI
Doubleton, LLC
- Adult Day Care Clinic/Center
- Wilmington, NC
National Provider Identifier
1861330755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- DOUBLETON, LLC
- Practice address
- 1929 Oleander Dr Ste F
Wilmington, NC 28403-2349 - Phone
- (910) 900-7752
- Fax
- (910) 900-3773
- NPI assigned
- Mar 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy R Petersen-Smith
- Title
- Owner
- Phone
- (910) 900-7752
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
1929 Oleander Dr Ste F
Wilmington, NC 28403-2349
Mailing address
PO Box 755
Isle of Palms, SC 29451-0755
Phone (910) 900-7752
National Provider Directory
National Provider DirectoryLocations
1929 Oleander Dr
Ste F
Wilmington, NC 28403
Phone (910) 900-7752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774224000000",
"number": "1861330755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 755",
"city": "ISLE OF PALMS",
"state": "SC",
"postal_code": "294510755",
"telephone_number": "910-900-7752",
"fax_number": "910-900-3773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1929 OLEANDER DR STE F",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284032349",
"telephone_number": "910-900-7752",
"fax_number": "910-900-3773"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOUBLETON, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-23",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A",
"authorized_official_last_name": "PETERSEN-SMITH",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "910-900-7752"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"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 Mar 23, 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.