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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: July 19, 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
Phone(910) 399-6427
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
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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

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.

Other Providers at the Same Location NPPES 4

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

DR. ELLIS A TINSLEY JR. MD
Surgery
1717 SHIPYARD BLVD STE 200
WILMINGTON, NC 28403
New Hanover County (910) 769-2583
MEREDITH DEILY PA-C
Physician Assistant
1717 SHIPYARD BLVD STE 200
WILMINGTON, NC 28403
New Hanover County (910) 769-2583
MRS. CANDACE ANN BARBER NP
Nurse Practitioner (Acute Care)
1717 SHIPYARD BLVD STE 200
WILMINGTON, NC 28403
New Hanover County (910) 769-2583
BAILEY ANDREW WATTS
Physician Assistant
1717 SHIPYARD BLVD STE 200
WILMINGTON, NC 28403
New Hanover County (910) 769-2583

Frequently Asked Questions

What is TINSLEY SURGICAL, PA's NPI number?

The NPI number assigned to this healthcare provider is 1407326291, enumerated as an "organization" on December 05, 2018.

Where is the provider located?

The provider is located at 1717 SHIPYARD BLVD STE 200 WILMINGTON, NC 28403 and the phone number is (910) 399-6427.

What is the provider's specialty?

Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.