TINSLEY SURGICAL, PA
NPI 1407326291
Surgery - Vascular Surgery in Wilmington, NC

Active since December 05, 2018CLIA 34D2206921 · Waiver
1717 SHIPYARD BLVD STE 200, WILMINGTON, NC 28403(910) 399-6427(910) 769-3531 Get Directions Write a Review

NPPES record last updated: October 12, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 12, 2021, Sep 16, 2020, Dec 5, 2018 (3 updates tracked since 2018).

About Tinsley Surgical, Pa NPPES

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

TINSLEY SURGICAL, PA (NPI 1407326291) is a healthcare organization registered as a vascular surgery in Wilmington, North Carolina and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through December 22, 2026 and lists Ellis A Tinsley, Owner, as its authorized official.

NPPES Registry Identity

NPI1407326291
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameTINSLEY SURGICAL, PA
Location Address1717 SHIPYARD BLVD STE 200Wilmington, NC 28403-8019
Mailing Address1717 Shipyard Blvd Ste 200Wilmington, NC 28403-8019 · (910) 769-2583 · Fax (910) 769-3531
Fax(910) 769-3531
Organization SubpartNo
Authorized OfficialEllis A TinsleyOwner · (910) 769-2583
Enumeration DateDecember 5, 2018
Last NPPES UpdateOctober 12, 20213 updates tracked since enumeration
NPPES CertifiedOctober 12, 2021
✔ NPI 1407326291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
1717 SHIPYARD BLVD STE 200, Wilmington, NC 28403

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tinsley Surgical, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Tinsley Surgical, PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

General Surgery
NPI 1285614578
1717 SHIPYARD BLVD STE 200
Wilmington, NC 28403
(910) 769-2583
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1437856259
1717 SHIPYARD BLVD STE 200
Wilmington, NC 28403
(910) 769-2583
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1023000858
2 MEDICAL PARK RD STE 300
Columbia, SC 29203
(803) 545-5800
✔ PECOS✔ Accepts Medicare179 mi
Vascular Surgery
NPI 1275026510
701 GROVE RD FL 3
Greenville, SC 29605
(864) 455-1435
✔ PECOS✔ Accepts Medicare260 mi
Nurse Practitioner
NPI 1407571284
1913 HIGHWAY 394
Blountville, TN 37617
(423) 662-7002
✔ PECOS✔ Accepts Medicare298 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 34D2206921

Tinsley Surgical, PA · Wilmington, NC
Active · expires Dec 22, 2026
CLIA Number34D2206921
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2024
Certificate Expiration DateDecember 22, 2026
Laboratory DirectorEllis A. Tinsley
Laboratory Phone(910) 769-2583
Laboratory LocationTinsley Surgical, PA1717 Shipyard Blvd, Suite 200, Wilmington, NC 28403
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Tinsley Surgical, PA's NPI number?

The NPI number for Tinsley Surgical, PA is 1407326291. It was assigned to this organization in the NPPES registry on December 5, 2018.

Where is Tinsley Surgical, PA located?

Tinsley Surgical, PA is located at 1717 Shipyard Blvd Ste 200, Wilmington, NC 28403. The listed phone number is (910) 399-6427.

What is Tinsley Surgical, PA's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Tinsley Surgical, PA enrolled in Medicare?

Yes. Tinsley Surgical, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tinsley Surgical, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Tinsley Surgical, PA, in General Surgery, Nurse Practitioner and Vascular Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tinsley Surgical, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2206921) is associated with this NPI, valid through December 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tinsley Surgical, PA accept?

Health plans from Cigna Healthcare list Tinsley Surgical, PA 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 Tinsley Surgical, PA was last updated on October 12, 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.