Individual provider Active NPI

Sean Mackey Wilson, PA-C

  • Surgical Physician Assistant
  • Fayetteville, NC
National Provider Identifier
1992770572
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
103952 Issued in NC
Practice address
4140 Ferncreek Dr
Suite 801
Fayetteville, NC 28314-2563
Phone
(910) 484-2171
Fax
(910) 484-4568
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 103952 NC Primary

Addresses

Primary practice location

4140 Ferncreek Dr
Suite 801
Fayetteville, NC 28314-2563

Mailing address

4140 Ferncreek Dr
Suite 801
Fayetteville, NC 28314-2563
Phone (910) 484-2171

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
I20040420001521 NC Practitioner - Physician Assistant 9032105754 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

1545 Orchard Villas Ave
Apex, NC 27502-4339
Phone (919) 684-8111

3000 Rogers Rd
Wake Forest, NC 27587-5743
Phone (919) 684-8111

40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103952NCMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Cape Fear Orthopaedic Clinic, PA Surgical CurrentSince Jan 5, 2004 Accepting new patients

Locations

4709 Creekstone Dr
Ste 300
Durham, NC 27703
Phone (919) 660-5066

2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

5601 Arringdon Park Dr
Ste 300
Morrisville, NC 27560
Phone (919) 660-5066

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: swilson403913@direct.medicine.duke.edu

Organizations & group practices 3

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.

Hospital & facility affiliations 9

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1992770572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 FERNCREEK DR",
            "address_2": "SUITE 801",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142563",
            "telephone_number": "910-484-2171",
            "fax_number": "910-484-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 FERNCREEK DR",
            "address_2": "SUITE 801",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142563",
            "telephone_number": "910-484-2171",
            "fax_number": "910-484-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SEAN",
        "middle_name": "MACKEY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NC",
            "license": "103952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.