Ave Maria Family Practice, PLLC
NPI 1215205539ActiveOrganization· Family Medicine· Wilmington, NC
Family Medicine in Wilmington, North Carolina, registered in NPPES in December 2011. The authorized official on file is Dorothy Ejinkonye Agbafe-Mosley, MD, Medical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1215205539 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 1, 2011 |
| Last updated in NPPES | Jul 17, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 2009-01999 | NC |
| Clinic/Center, Primary Care | 261QP2300X | 179288 | NC |
| Clinic/Center, Primary Care | 261QP2300X | 2009-01999 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NC) |
|---|
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