Sandra Elaine Weibley, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

103077 Issued in NC

Practice address

1990 S 16TH St
Wilmington, NC 28401-6647

Phone

(910) 762-7071

Fax

(910) 762-9658

NPI assigned

Feb 19, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wilmington Primary Care, PA

  • Internal Medicine Physician
  • Wilmington, NC
  • NPI 1881819407
  Medicare reassignment

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1881862316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 S 16TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016647",
            "telephone_number": "910-762-7071",
            "fax_number": "910-762-9658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 S 16TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016647",
            "telephone_number": "910-762-7071",
            "fax_number": "910-762-9658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIBLEY",
        "first_name": "SANDRA",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "103077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "103077",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Grace Weeks, LCMHC-A
• Adam Matthew Wegener
• Valerie Lynn Wegener, NP
• Joseph James Wehner, M.D.
• Erin Wehrhan
• Spencer G Weig, MD
• Mallorie Diane Weigman, MS, MSW
• Adam Weinberg, DDS
• Elizabeth Southerland Weinberg, M.D.
• Timothy M Weiner, MD

• Medical Physician Assistant in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.