Active NPI
Daniel Andrew Culbreth, PA
- Physician Assistant
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 101790
- Practice address
- 2716 Ashton Dr
Wilmington, NC 28412-2489 - Phone
- (910) 332-3800
- Fax
- (910) 763-8804
- NPI assigned
- Aug 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 101790 | NC | Primary |
Addresses
Primary practice location
2716 Ashton Dr
Wilmington, NC 28412-2489
Mailing address
3787 Shipyard Blvd
Wilmington, NC 28403-6148
Phone (910) 332-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101790 | Other | NC | MEDICAL LICENSE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080731000325 | NC | Practitioner - Physician Assistant | 4284708843 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergeortho PA
Practice addresses (Care Compare)
3787 Shipyard Blvd
Wilmington, NC 28403-6148
Phone (910) 332-3800
799 Doctors CT
Roxboro, NC 27573-4571
Phone (336) 599-4079
8115 Market St
Suite 108
Wilmington, NC 28411-8429
Phone (910) 332-3800
Hospital & facility affiliations
- Novant Health New Hanover Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101790 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergeortho PA | Current | Accepting new patients | |
| Emergeortho PA | Physician Assistant | Current | Accepting new patients |
Locations
1168 E Cutlar Crossing
Leland, NC 28451
Phone (814) 836-8113
799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079
902 N Howe St
Southport, NC 28461
Phone (910) 457-4789
8115 Market St
Wilmington, NC 28411
Phone (910) 256-6088
3787 Shipyard Blvd
Wilmington, NC 28403
Phone (910) 341-2444
2716 Ashton Dr
Wilmington, NC 28412
Phone (910) 332-1534
8115 Market St
Ste 108
Wilmington, NC 28411
Phone (910) 763-2361
Interoperability endpoints
- dculbreth1244938@direct.novanthealth.org
- daniel.a.culbreth.1@847.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Eden, NC
- NPI 1841170222
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347235200000",
"number": "1982606638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3787 SHIPYARD BLVD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036148",
"telephone_number": "910-332-3800",
"fax_number": "910-763-8804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2716 ASHTON DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284122489",
"telephone_number": "910-332-3800",
"fax_number": "910-763-8804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULBRETH",
"first_name": "DANIEL",
"middle_name": "ANDREW",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2012-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "101790",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "101790",
"state": "NC"
}
],
"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 Sep 10, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.