DOUGLAS ALAN WALDREP MD
NPI 1164517751
Psychiatry & Neurology - Child & Adolescent Psychiatry in Wilmington, NC

Q: What is Douglas Waldrep's NPI number?

The NPI number for Douglas Waldrep is 1164517751. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Q: What is Douglas Waldrep's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Waldrep was last updated on May 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 03, 2006PECOS Enrolled

2131 S 17TH ST, WILMINGTON, NC 28401(910) 667-7000(910) 815-5850 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2021, Mar 29, 2021, Jan 20, 2021 and 38 more (41 updates tracked since 2018).

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About Douglas Alan Waldrep Md NPPES

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

DOUGLAS ALAN WALDREP MD (NPI 1164517751) is an individual child & adolescent psychiatry provider in Wilmington, North Carolina, licensed in North Carolina (2006-01911) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164517751

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameDOUGLAS ALAN WALDREPCredential: MD

Location Address2131 S 17TH STWilmington, NC 28401-7407

Mailing AddressPo Box 936857Atlanta, GA 31193-6857

Phone(910) 667-7000

Fax(910) 815-5850

Sole ProprietorNo

Enumeration DateOctober 3, 2006

Last NPPES UpdateMay 26, 202141 updates tracked since enumeration

NPPES CertifiedMay 26, 2021

✔ NPI 1164517751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in NC · 2006-01911

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 2006-01911 (NC)

2131 S 17TH ST, Wilmington, NC 28401

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas Alan Waldrep Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

NEW HANOVER REGIONAL MEDICAL CENTER

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