WILMINGTON HEALTH PLLC
NPI 1043485097
Sleep Specialist, PhD in Wilmington, NC

Active since April 29, 2008CLIA Certified · 3 labs
1227 MEDICAL CENTER DR, WILMINGTON, NC 28401(669) 376-6928(864) 278-5048 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Sleep Specialist, PhD
  • CLIA Number: 34D2305879
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 06-06-2026

About WILMINGTON HEALTH PLLC

This page provides the complete NPI Profile along with additional information for Wilmington Health Pllc, a provider established in Wilmington, North Carolina operating as a Sleep Specialist, Phd. The healthcare provider is registered in the NPI registry with number 1043485097 assigned on April 2008. The practitioner's primary taxonomy code is 173F00000X with license number 73991 (NC). The provider is registered as an organization and their NPI record was last updated 3 years ago. Wilmington Health Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Jeanette Loveless (Ao)

NPI
1043485097 Verify this NPI
Provider Name
WILMINGTON HEALTH PLLC
Entity Type
Organization
Location Address
1227 MEDICAL CENTER DR WILMINGTON, NC 28401
Location Phone
(669) 376-6928
Location Fax
(864) 278-5048
Mailing Address
1202 MEDICAL CENTER DR WILMINGTON, NC 28401
Mailing Phone
(910) 617-6705
Mailing Fax
(910) 431-4048
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-29-2008
Last Update Date
02-02-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Sleep Specialist, PhD

Taxonomy Code
173F00000X
Type
Other Service Providers
License No.
73991
License State
NC
Taxonomy Description
Sleep medicine is a clinical specialty with a focus on clinical problems that require accurate diagnosis and treatment. The knowledge base of sleep medicine is derived from many disciplines including neuroanatomy, neurophysiology, respiratory physiology, pharmacology, psychology, psychiatry, neurology, general internal medicine, pulmonary medicine, and pediatrics as well as others.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEANETTE LOVELESS

Authorized Official Title
AO
Authorized Official Phone
(910) 796-7730

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D2305879
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
June 07, 2024
Certificate Expiration Date
June 06, 2026
Laboratory Director
JOSHUA K. MASTRACHISIA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wilmington Health Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043485097, enumerated as an "organization" on April 29, 2008.

The provider is located at 1227 MEDICAL CENTER DR WILMINGTON, NC 28401 and the phone number is (669) 376-6928.

Sleep Specialist, PhD with taxonomy code 173F00000X.