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WILMINGTON PROACTIVE MEDICINE, PA
NPI 1124467584
Clinic/Center - Primary Care in Wilmington, NC

Active since June 19, 2013
1410 COMMONWEALTH DR, SUITE 100, WILMINGTON, NC 28403(910) 679-4784(910) 777-5453 Get Directions Write a Review

NPPES record last updated: August 16, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wilmington Proactive Medicine, Pa NPPES

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

WILMINGTON PROACTIVE MEDICINE, PA (NPI 1124467584) is a healthcare organization registered as a primary care in Wilmington, North Carolina and active in the NPI registry since June 2013. The organization lists April Scott, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1124467584
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameWILMINGTON PROACTIVE MEDICINE, PA
Location Address1410 COMMONWEALTH DR, SUITE 100Wilmington, NC 28403-0376
Mailing Address1410 Commonwealth Dr, Suite 100Wilmington, NC 28403-0314 · (910) 679-4784 · Fax (910) 777-5453
Phone(910) 679-4784
Fax(910) 777-5453
Organization SubpartNo
Authorized OfficialApril ScottPractice Manager · (910) 431-2512
Enumeration DateJune 19, 2013
Last NPPES UpdateAugust 16, 2013
✔ NPI 1124467584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NC · 9701146
1410 COMMONWEALTH DR, Wilmington, NC 28403
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Other Providers at the Same Location NPPES

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

DR. SONJA MAIA SHANLEY M.D.
Family Medicine
1410 COMMONWEALTH DR, STE 100
WILMINGTON, NC 28403
New Hanover County (910) 679-4784

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 Proactive Medicine, PA's NPI number?

The NPI number for Wilmington Proactive Medicine, PA is 1124467584. It was assigned to this organization in the NPPES registry on June 19, 2013.

Where is Wilmington Proactive Medicine, PA located?

Wilmington Proactive Medicine, PA is located at 1410 Commonwealth Dr Suite 100, Wilmington, NC 28403. The listed phone number is (910) 679-4784.

What is Wilmington Proactive Medicine, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Wilmington Proactive Medicine, PA was last updated on August 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.