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WILMINGTON FERTILITY CENTER PLLC
NPI 1114648391
Obstetrics & Gynecology - Reproductive Endocrinology in Wilmington, NC

Active since September 07, 2022CLIA 34D2270076 · Accreditation
5815 OLEANDER DR, SUITE 240, WILMINGTON, NC 28403(910) 444-1980 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wilmington Fertility Center Pllc NPPES

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

WILMINGTON FERTILITY CENTER PLLC (NPI 1114648391) is a healthcare organization registered as a reproductive endocrinology in Wilmington, North Carolina and active in the NPI registry since September 2022. The organization holds an CLIA Accreditation certificate valid through March 26, 2028 and lists Daniel Shanahan, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1114648391
Entity TypeOrganization
Primary Taxonomy207VE0102X
Legal Business NameWILMINGTON FERTILITY CENTER PLLC
Location Address5815 OLEANDER DR, SUITE 240Wilmington, NC 28403
Mailing Address5815 Oleander Dr, Suite 240Wilmington, NC 28403 · (910) 444-1980
Phone(910) 444-1980
Organization SubpartNo
Authorized OfficialDaniel ShanahanChief Financial Officer · (781) 434-6500
Enumeration DateSeptember 7, 2022
NPPES CertifiedSeptember 7, 2022
✔ NPI 1114648391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Reproductive EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code207VE0102X
Definition
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
5815 OLEANDER DR, Wilmington, NC 28403
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 34D2270076

Wilmington Fertility Center PLLC · Wilmington, NC
Active · expires Mar 26, 2028
CLIA Number34D2270076
Laboratory TypePhysician Office
Certificate Effective DateMarch 27, 2026
Certificate Expiration DateMarch 26, 2028
Laboratory DirectorMr. Kevin Lambrese
Laboratory Phone(910) 444-1980
Laboratory LocationWilmington Fertility Center PLLC5815 Oleander Dr Suite 240, Wilmington, NC 28403
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Wilmington Medical Supply carries, from the Medicare DMEPOS supplier directory.

Wilmington Medical Supply

DMEPOS supplier · Wilmington, NCOperated by Wilmington Medical Supply, Inc.
✔

Accepts Medicare assignment

Wilmington Medical Supply agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20642693
Medicare Participant SinceJanuary 1, 1998
Supplier Location5815 Oleander Dr Ste 310Wilmington, NC 28403
Phone(910) 392-5553
Supplier Specialties
Medical Supply Company Other

Medicare Product Categories

Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Ostomy Supplies
Pouches, Paste, Powder, Barrier wipes
Urological Supplies
Catheters, Urinary collection devices
Enteral Nutrients
Enteral formula
Enteral Equipment and/or Supplies
Enteral infusion pumps, enteral nutrition supply kits
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Wilmington Fertility Center PLLC's NPI number?

The NPI number for Wilmington Fertility Center PLLC is 1114648391. It was assigned to this organization in the NPPES registry on September 7, 2022.

Where is Wilmington Fertility Center PLLC located?

Wilmington Fertility Center PLLC is located at 5815 Oleander Dr Suite 240, Wilmington, NC 28403. The listed phone number is (910) 444-1980.

What is Wilmington Fertility Center PLLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Reproductive Endocrinology, with taxonomy code 207VE0102X.

Does Wilmington Fertility Center PLLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Wilmington Medical Supply accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Wilmington Fertility Center PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 34D2270076) is associated with this NPI, valid through March 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wilmington Fertility Center PLLC was last updated on September 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.