SHIPYARD MEDICAL CENTER
NPI 1306050588
Clinic/Center - Primary Care in Wilmington, NC

Active since May 09, 2007CLIA 34D1067221 · Waiver
2632 CAROLINA BEACH RD, WILMINGTON, NC 28412(910) 409-0922 Get Directions Write a Review

NPPES record last updated: September 25, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shipyard Medical Center NPPES

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

SHIPYARD MEDICAL CENTER (NPI 1306050588) is a healthcare organization registered as a primary care in Wilmington, North Carolina and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through April 12, 2027 and lists Chris Donovin, Owner, as its authorized official.

NPPES Registry Identity

NPI1306050588
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSNOWY MOUNTAIN MANAGEMENT PLLC
Location Address2632 CAROLINA BEACH RDWilmington, NC 28412-1806
Mailing Address2632 Carolina Beach RdWilmington, NC 28412-1806 · (910) 794-3939 · Fax (910) 794-3938
Organization SubpartYes
Authorized OfficialChris DonovinOwner · (919) 931-0490
Enumeration DateMay 9, 2007
Last NPPES UpdateSeptember 25, 2007
NPI 1306050588 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 · NC102817
2632 CAROLINA BEACH RD, Wilmington, NC 28412

Other Names 1

Doing Business AsShipyard Medical Center

Other Identifiers 1

Medicaid5906809NC

Accepted 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 34D1067221

Shipyard Medical Center · Wilmington, NC
Active · expires Apr 12, 2027
CLIA Number34D1067221
Laboratory TypePhysician Office
Certificate Effective DateApril 13, 2025
Certificate Expiration DateApril 12, 2027
Laboratory DirectorChris Donovin
Laboratory Phone(910) 794-3939
Laboratory LocationShipyard Medical Center2632-3 Carolina Beach Rd Ste C, Wilmington, NC 28412
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Counselor (Professional)
2632 CAROLINA BEACH RD
WILMINGTON, NC 28412
Physician Assistant
2632 CAROLINA BEACH RD, SUITE C
WILMINGTON, NC 28412

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 Snowy Mountain Management PLLC's NPI number?

The NPI number for Snowy Mountain Management PLLC is 1306050588. It was assigned to this organization in the NPPES registry on May 9, 2007. The provider is doing business as Shipyard Medical Center.

Where is Snowy Mountain Management PLLC located?

Snowy Mountain Management PLLC is located at 2632 Carolina Beach Rd, Wilmington, NC 28412. The listed phone number is (910) 409-0922.

What is Snowy Mountain Management PLLC's specialty?

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

Does Snowy Mountain Management PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1067221) is associated with this NPI, valid through April 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Snowy Mountain Management PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Snowy Mountain Management 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 Snowy Mountain Management PLLC was last updated on September 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.