Wilmington Family Practice PLLC
NPI 1992351910ActiveOrganization· Physician Assistant· Wilmington, NC
Physician Assistant in Wilmington, North Carolina, registered in NPPES in August 2019. The authorized official on file is Tina Louise Hudson, Practice Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1992351910 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 15, 2019 |
| Last updated in NPPES | Feb 11, 2020 |
| Certified by provider | Feb 11, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
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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