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AVE MARIA FAMILY PRACTICE, PLLC
NPI 1215205539
Family Medicine in Wilmington, NC

Active since December 01, 2011CLIA 34D2042505 · Waiver
1230 MEDICAL CENTER DR, WILMINGTON, NC 28401(910) 799-5452(910) 799-5479 Get Directions Write a Review

NPPES record last updated: July 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ave Maria Family Practice, Pllc NPPES

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

AVE MARIA FAMILY PRACTICE, PLLC (NPI 1215205539) is a healthcare organization registered as a family medicine in Wilmington, North Carolina and active in the NPI registry since December 2011. The organization holds a CLIA Waiver certificate valid through December 7, 2027 and lists Dorothy Ejinkonye Agbafe-mosley, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1215205539
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAVE MARIA FAMILY PRACTICE, PLLC
Location Address1230 MEDICAL CENTER DRWilmington, NC 28401
Mailing AddressPo Box 16663Wilmington, NC 28408-6663 · (910) 799-5452 · Fax (910) 799-5479
Phone(910) 799-5452
Fax(910) 799-5479
Organization SubpartNo
Authorized OfficialDorothy Ejinkonye Agbafe-mosleyMedical Director · (910) 799-5452
Enumeration DateDecember 1, 2011
Last NPPES UpdateJuly 17, 2018
✔ NPI 1215205539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 2009-01999
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License 179288 (NC), 2009-01999 (NC)
1230 MEDICAL CENTER DR, Wilmington, NC 28401
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Other Identifiers 1

Medicaid5915683NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Medica.Insurance ›

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 Waiver 34D2042505

Ave Maria Family Practice, PLLC · Wilmington, NC
Active · expires Dec 7, 2027
CLIA Number34D2042505
Laboratory TypePhysician Office
Certificate Effective DateDecember 8, 2025
Certificate Expiration DateDecember 7, 2027
Laboratory DirectorDorothy E. Agbafe- Mosley
Laboratory Phone(910) 799-5452
Laboratory LocationAve Maria Family Practice, PLLC1230 Medical Center Drive, Wilmington, NC 28401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DR. ELIZABETH ASHLEY TRIPLETT DNP
Nurse Practitioner (Family)
1230 MEDICAL CENTER DR
WILMINGTON, NC 28401
New Hanover County (910) 799-5452
MR. MICHAEL JOSEPH DISIENO LCAS
Family Medicine
1230 MEDICAL CENTER DR
WILMINGTON, NC 28401
New Hanover County (910) 799-5452
DR. DOROTHY EJINKONYE AGBAFE-MOSLEY MD
Family Medicine
1230 MEDICAL CENTER DR
WILMINGTON, NC 28401
New Hanover County (910) 799-5452

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 Ave Maria Family Practice, PLLC's NPI number?

The NPI number for Ave Maria Family Practice, PLLC is 1215205539. It was assigned to this organization in the NPPES registry on December 1, 2011.

Where is Ave Maria Family Practice, PLLC located?

Ave Maria Family Practice, PLLC is located at 1230 Medical Center Dr, Wilmington, NC 28401. The listed phone number is (910) 799-5452.

What is Ave Maria Family Practice, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Ave Maria Family Practice, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2042505) is associated with this NPI, valid through December 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ave Maria Family Practice, PLLC accept?

Health plans from Blue Cross and Blue Shield of NC and Medica list Ave Maria Family Practice, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ave Maria Family Practice, PLLC was last updated on July 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.