Port City Medical Associates

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9501564 Issued in NC

Legal business name

PORT CITY MEDICAL ASSOCIATES

Practice address

1612 Doctor Circle
Wilmington, NC 28401

Phone

(910) 762-1190

Fax

(910) 762-1196

NPI assigned

Nov 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. William Lawrence Joyner, MD

Title

President/Ceo

Phone

(910) 762-1190

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marshelle Lynn Powell, P.A.-C

  • Physician Assistant
  • Wilmington, NC
  • NPI 1619923505
  NPD (past)

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1881848547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 DOCTOR CIRCLE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28401",
            "telephone_number": "910-762-1190",
            "fax_number": "910-762-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 DOCTOR CIRCLE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28401",
            "telephone_number": "910-762-1190",
            "fax_number": "910-762-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT CITY MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-07",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "JOYNER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "910-762-1190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9501564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8947541",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "G23917",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Port City Behavioral Health
• Port City Chiropractic Inc.
• Port City Contracting Service
• Port City Eye Associates, OD, P.a.
• Port City Family and Cosmetic Dentistry
• Port City Neurosurgery and Spine, P.C.
• Port City Optometry, PLLC
• Port City Physical Therapy, Inc.
• Port City Speech, PLLC
• Port City Therapy, PLLC

• Family Medicine Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.