Organization Active NPI

Doubleton, LLC

  • Adult Day Care Clinic/Center
  • Wilmington, NC
National Provider Identifier
1861330755
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
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

Updated by the provider on Mar 23, 2026

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.