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PENDER MEMORIAL HOSPIAL EKG
NPI 1033242987
General Acute Care Hospital - Critical Access in Burgaw, NC

Active since March 13, 2007
507 E FREMONT ST, BURGAW, NC 28425(910) 259-5451(910) 259-7136 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pender Memorial Hospial Ekg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENDER MEMORIAL HOSPIAL EKG (NPI 1033242987) is a healthcare organization registered as a critical access in Burgaw, North Carolina and active in the NPI registry since March 2007. The organization lists David H. Long, Administrator/site Executive Office, as its authorized official.

NPPES Registry Identity

NPI1033242987
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NamePENDER MEMORIAL HOSPITAL INCORPORATED
Location Address507 E FREMONT STBurgaw, NC 28425-5131
Mailing Address507 E Fremont StBurgaw, NC 28425-5131 · (910) 259-5451 · Fax (910) 259-7136
Phone(910) 259-5451
Fax(910) 259-7136
Organization SubpartNo
Authorized OfficialDavid H. LongAdministrator/site Executive Office · (910) 259-5451
Enumeration DateMarch 13, 2007
Last NPPES UpdateAugust 28, 2024
NPPES CertifiedAugust 28, 2024
✔ NPI 1033242987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care Hospital · Critical AccessHospitals
Taxonomy Code282NC0060X
License✔ Licensed in NC · H0115
507 E FREMONT ST, Burgaw, NC 28425
Open in Google Maps ↗

Other Names 3

Doing Business AsPender Memorial Hospial Ekg
Doing Business AsNovant Health Pender Medical Center
Other NamePender Memorial Hospital Ekg

Other Identifiers 2

Medicaid8907714NC
Medicaid8969959NC

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pender Memorial Hospial Ekg is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

157

Medicare enrollment records show 157 clinicians reassign Medicare billing to Pender Memorial Hospial Ekg, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Certified Registered Nurse Anesthetist (CRNA)120
Cardiovascular Disease (Cardiology)26
Interventional Cardiology4
Hospitalist3
Cardiac Electrophysiology2
Advanced Heart Failure and Transplant Cardiology1
Internal Medicine1

Nearest to this location (20)

See all 157
Brenda Hall, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1477603785
9104 MARKET ST
Wilmington, NC 28411
(910) 686-2840
✔ Accepts Medicare18 mi
Ji Yun Rebekah Robinson, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1104983477
9104 MARKET ST
Wilmington, NC 28411
(910) 686-2840
✔ Accepts Medicare18 mi
Justin Miller, MD
Internal Medicine
NPI 1760590632
7420 MARKET ST
Wilmington, NC 28411
(910) 686-2525
✔ PECOS✔ Accepts Medicare20 mi
Amy Formyduval
Certified Registered Nurse Anesthetist (CRNA)
NPI 1588033450
6404 SPICEWOOD ST
Wilmington, NC 28405
(910) 840-6802
✔ Accepts Medicare20 mi
Jennifer Edge
Certified Registered Nurse Anesthetist (CRNA)
NPI 1669521670
1801 S 17TH ST
Wilmington, NC 28401
(910) 763-4555
✔ Accepts Medicare23 mi
Sara Lane
Certified Registered Nurse Anesthetist (CRNA)
NPI 1023450558
2131 S 17TH ST
Wilmington, NC 28401
(910) 343-7000
✔ Accepts Medicare23 mi
Mario Basegoda, MD
Hospitalist
NPI 1457373540
2131 S 17TH ST
Wilmington, NC 28401
(910) 667-7000
✔ PECOS✔ Accepts Medicare24 mi
Christopher Barber, MD
Cardiovascular Disease (Cardiology)
NPI 1487762464
1415 PHYSICIANS DR
Wilmington, NC 28401
(910) 662-9500
✔ PECOS✔ Accepts Medicare24 mi
Taylor Bazemore
Hospitalist
NPI 1144648270
1415 PHYSICIANS DR
Wilmington, NC 28401
(910) 662-9500
✔ PECOS✔ Accepts Medicare24 mi
James Forrester, MD
Cardiovascular Disease (Cardiology)
NPI 1154439149
1415 PHYSICIANS DR
Wilmington, NC 28401
(910) 662-9500
✔ PECOS✔ Accepts Medicare24 mi
Zachary Garrett, M.D.
Cardiovascular Disease (Cardiology)
NPI 1205254836
1415 PHYSICIANS DR
Wilmington, NC 28401
(910) 662-9500
✔ PECOS✔ Accepts Medicare24 mi
Arnold Hite, MD
Cardiovascular Disease (Cardiology)
NPI 1841516788
1415 PHYSICIANS DR
Wilmington, NC 28401
(910) 662-9500
✔ PECOS✔ Accepts Medicare24 mi
Frank Hobart, MD
Cardiovascular Disease (Cardiology)
NPI 1629186622
1415 PHYSICIANS DR
Wilmington, NC 28401
(910) 662-9500
✔ PECOS✔ Accepts Medicare24 mi
Cory Jackson
Interventional Cardiology
NPI 1609365170
1415 PHYSICIANS DR
Wilmington, NC 28401
(518) 859-5714
✔ PECOS✔ Accepts Medicare24 mi
William Lewis, MD
Interventional Cardiology
NPI 1316907041
1415 PHYSICIANS DR
Wilmington, NC 28401
(910) 662-9500
✔ PECOS✔ Accepts Medicare24 mi
Frederick Meine, MD
Interventional Cardiology
NPI 1346226354
1415 PHYSICIANS DR
Wilmington, NC 28401
(910) 662-9500
✔ PECOS✔ Accepts Medicare24 mi
John Rommel, MD
Advanced Heart Failure and Transplant Cardiology
NPI 1205061678
1415 PHYSICIANS DR
Wilmington, NC 28401
(910) 662-9500
✔ PECOS✔ Accepts Medicare24 mi
William Smith, MD
Cardiac Electrophysiology
NPI 1144338161
1500 PHYSICIANS DR
Wilmington, NC 28401
(910) 662-9500
✔ PECOS✔ Accepts Medicare24 mi
Michael Yarnoz, MD
Cardiac Electrophysiology
NPI 1639378045
1500 PHYSICIANS DR
Wilmington, NC 28401
(910) 662-9500
✔ PECOS✔ Accepts Medicare24 mi
Heather Davis, DO
Hospitalist
NPI 1528260981
2523 DELANEY AVE
Wilmington, NC 28403
(910) 763-5522
✔ PECOS24 mi
See all 157 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pender Memorial Hospital Incorporated's NPI number?

The NPI number for Pender Memorial Hospital Incorporated is 1033242987. It was assigned to this organization in the NPPES registry on March 13, 2007. The provider is doing business as Pender Memorial Hospial Ekg and Novant Health Pender Medical Center. The provider is also known as Pender Memorial Hospital EKG.

Where is Pender Memorial Hospital Incorporated located?

Pender Memorial Hospital Incorporated is located at 507 E Fremont St, Burgaw, NC 28425. The listed phone number is (910) 259-5451.

What is Pender Memorial Hospital Incorporated's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Is Pender Memorial Hospital Incorporated enrolled in Medicare?

Yes. Pender Memorial Hospital Incorporated is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pender Memorial Hospital Incorporated?

According to the CMS Revalidation Reassignment List (October 2026 release), 157 clinicians in 7 Medicare specialties reassign their Medicare billing to Pender Memorial Hospital Incorporated. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (120), Cardiovascular Disease (Cardiology) (26) and Interventional Cardiology (4). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pender Memorial Hospital Incorporated was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.