Individual provider Active NPI

Julie Santiago, PA-C

  • Physician Assistant
  • Whiteville, NC
National Provider Identifier
1972282762
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
319162 Issued in NC
Practice address
720 Jefferson St
Whiteville, NC 28472-3706
Phone
(910) 251-9944
Fax
(910) 763-4666
NPI assigned
Jul 18, 2023
Last updated
May 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 319162 NC Primary

Addresses

Primary practice location

720 Jefferson St
Whiteville, NC 28472-3706

Mailing address

PO Box 23329
New York, NY 10087-3329

Other practice location 1

308 S Bennett St
Burgaw, NC 28425-5048
Phone (910) 251-9944

Other practice location 2

5272 Ocean Hwy W
Shallotte, NC 28470-4006
Phone (910) 251-9944

Other practice location 3

1099 Medical Center Dr
Wilmington, NC 28401-7346
Phone (910) 251-9944

Other practice location 4

1099 Medical Center Dr Ste 100A
Wilmington, NC 28401-7367
Phone (910) 251-9944

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240125001225 NC Practitioner - Physician Assistant 4385097427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Dermatology PAGroup PAC ID 7012971609, 52 clinicians

Practice addresses (Care Compare)

4201 Lake Boone TRL
Suite 200
Raleigh, NC 27607-7511
Phone (919) 782-2152

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Dermatology, PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jsantiago@aadermaffiliates.emadirect.md

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1972282762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23329",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 JEFFERSON ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723706",
            "telephone_number": "910-251-9944",
            "fax_number": "910-763-4666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 S Bennett St",
            "address_purpose": "LOCATION",
            "city": "Burgaw",
            "state": "NC",
            "postal_code": "284255048",
            "country_code": "US",
            "telephone_number": "910-251-9944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5272 Ocean Hwy W",
            "address_purpose": "LOCATION",
            "city": "Shallotte",
            "state": "NC",
            "postal_code": "284704006",
            "country_code": "US",
            "telephone_number": "910-251-9944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1099 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017346",
            "country_code": "US",
            "telephone_number": "910-251-9944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1099 Medical Center Dr Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017367",
            "country_code": "US",
            "telephone_number": "910-251-9944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "JULIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "319162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteville, NC

Sources for this page

Verify at the official NPI Registry.