Breony Miller Vinson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001001833 Issued in NC

Practice address

16747 US Highway 17 Ste 114
Hampstead, NC 28443-3086

Phone

(910) 763-2476

NPI assigned

Jun 8, 2009

Last updated

Nov 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4693/brand/6/csg/1/fhir/r4

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.

• Carolina Pediatrics

  • Point of Service
  • Wilmington, NC
  • NPI 1346201340
  NPD
• Carolina Pediatrics

  • Pediatrics Physician
  • Wilmington, NC
  • NPI 1710229570
  NPD (past)

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1861628695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017574",
            "telephone_number": "910-763-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16747 US HIGHWAY 17 STE 114",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284433086",
            "telephone_number": "910-763-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINSON",
        "first_name": "BREONY",
        "middle_name": "MILLER",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-08",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001001833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Michele Van Nostrand, RPH
• James O Vaughn, PA-C
• Village Pharmacy of Hampstead Inc (Village Pharmacy)
• Village Pharmacy of Hampstead Inc (Village Pharmacy)
• Village Pharmacy of Hampstead Inc (Village Pharmacy)
• Vital Wellness PLLC
• Vop Hampstead, LLC
• Preston Almand Walker Jr., LPT
• Marisa Wallace, DPT
• Brianna Walters, RBT

• Physician Assistant in Hampstead, NC
• Providers in Hampstead, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.