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WILMINGTON VA CLINIC
NPI 1043253156
Clinic/Center - VA in Wilmington, NC

Active since June 14, 2006
1705 GARDNER ROAD, WILMINGTON, NC 28405(828) 257-3777 Get Directions Write a Review

NPPES record last updated: April 11, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 11, 2018, Mar 2, 2017 (2 updates tracked since 2017).

About Wilmington Va Clinic NPPES

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

WILMINGTON VA CLINIC (NPI 1043253156) is a healthcare organization registered as a va in Wilmington, North Carolina and active in the NPI registry since June 2006. The organization lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1043253156
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameFAYETTEVILLE VAMC
Location Address1705 GARDNER ROADWilmington, NC 28405-8873
Mailing AddressPo Box 89494Cleveland, OH 44101-6494 · (828) 257-2333
Phone(828) 257-3777
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateJune 14, 2006
Last NPPES UpdateApril 11, 20182 updates tracked since enumeration
✔ NPI 1043253156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
1705 GARDNER ROAD, Wilmington, NC 28405
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Other Names 1

Other NameWilmington Va Clinic

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUSTIN DANIEL LE DUC LCSW
Social Worker (Clinical)
1705 GARDNER ROAD
WILMINGTON, NC 28405
New Hanover County (910) 343-5300
VAMC 565 WILMINGTON HCC
Clinic/Center (VA)
1705 GARDNER ROAD, VA PHARMACY
WILMINGTON, NC 28405
New Hanover County (910) 343-5334
DR. ANDREW J VITT PHARMD
Pharmacist
1705 GARDNER ROAD, VETERANS AFFAIRS HEALTH CARE CENTER
WILMINGTON, NC 28405
New Hanover County (910) 343-5300
SHANNON GODWIN FNP-C
Nurse Practitioner
1705 GARDNER ROAD
WILMINGTON, NC 28405
New Hanover County (910) 343-5300
DR. ARON JEFFREY GEWIRTZMAN M.D.
Dermatology
1705 GARDNER ROAD
WILMINGTON, NC 28405
New Hanover County (910) 343-5300
FAYETTEVILLE VAMC
Department of Veterans Affairs (VA) Pharmacy
1705 GARDNER ROAD
WILMINGTON, NC 28405
New Hanover County (910) 343-5339

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 Fayetteville Vamc's NPI number?

The NPI number for Fayetteville Vamc is 1043253156. It was assigned to this organization in the NPPES registry on June 14, 2006.

Where is Fayetteville Vamc located?

Fayetteville Vamc is located at 1705 Gardner Road, Wilmington, NC 28405. The listed phone number is (828) 257-3777.

What is Fayetteville Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

When was this NPI record last updated?

The NPPES record for Fayetteville Vamc was last updated on April 11, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.