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UROLOGY ASSOCIATES OF SOUTHEASTERN NORTH CAROLINA, PA
NPI 1407875610
Specialist in Wilmington, NC

Active since July 19, 2006CLIA 34D0245849 · Accreditation
1905 GLEN MEADE RD, WILMINGTON, NC 28403(910) 763-6251(910) 763-7408 Get Directions Write a Review

NPPES record last updated: February 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Urology Associates Of Southeastern North Carolina, Pa NPPES

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

UROLOGY ASSOCIATES OF SOUTHEASTERN NORTH CAROLINA, PA (NPI 1407875610) is a healthcare organization registered as a specialist in Wilmington, North Carolina and active in the NPI registry since July 2006. The organization holds an CLIA Accreditation certificate valid through May 3, 2027 and lists Amy Arlene Watson, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1407875610
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameUROLOGY ASSOCIATES OF SOUTHEASTERN NORTH CAROLINA, PA
Location Address1905 GLEN MEADE RDWilmington, NC 28403-6024
Mailing Address1905 Glen Meade RdWilmington, NC 28403-6024 · (910) 763-6251 · Fax (910) 763-7408
Phone(910) 763-6251
Fax(910) 763-7408
Organization SubpartNo
Authorized OfficialAmy Arlene WatsonPractice Administrator · (910) 763-6251
Enumeration DateJuly 19, 2006
Last NPPES UpdateFebruary 1, 2023
NPPES CertifiedFebruary 1, 2023
✔ NPI 1407875610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NC · 40206
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1905 GLEN MEADE RD, Wilmington, NC 28403
Open in Google Maps ↗

Other Identifiers 1

Medicaid8901777NC

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

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.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)

Urology Associates Of Southeastern North Carolina, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Urology Associates Of Southeastern North Carolina, PA, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Urology5
Interventional Radiology4
Nurse Practitioner1
Pathology1

Clinicians, nearest first (11)

Edgar Kirby, M.D.
Urology
NPI 1326332024
1905 GLEN MEADE RD
Wilmington, NC 28403
(910) 763-6251
✔ PECOS✔ Accepts MedicareSame address
Angela Plichta, PA-C
Urology
NPI 1780964254
1905 GLEN MEADE RD
Wilmington, NC 28403
(910) 763-6251
✔ PECOS✔ Accepts MedicareSame address
Kaitlin Ridder, M.D.
Urology
NPI 1114339447
1905 GLEN MEADE RD
Wilmington, NC 28403
(910) 763-6251
✔ PECOS✔ Accepts MedicareSame address
Caroline Zeigler, FNP
Nurse Practitioner
NPI 1548101041
1905 GLEN MEADE RD
Wilmington, NC 28403
(910) 763-6251
✔ PECOS✔ Accepts MedicareSame address
Peter Zeman, M.D.
Urology
NPI 1730173287
1905 GLEN MEADE RD
Wilmington, NC 28403
(910) 763-6251
✔ PECOS✔ Accepts MedicareSame address
Raj Patel, MD
Interventional Radiology
NPI 1114412475
1176 E CUTLAR XING STE 200
Leland, NC 28451
(703) 783-5353
✔ PECOS✔ Accepts Medicare7.4 mi
Dana Point, MD
Urology
NPI 1659665560
4222 LONG BEACH RD SE
Southport, NC 28461
(910) 763-2510
✔ PECOS✔ Accepts Medicare20 mi
Ari Isaacson, M.D.
Interventional Radiology
NPI 1982674586
101 MANNING DR
Chapel Hill, NC 27514
(919) 966-6646
✔ PECOS✔ Accepts Medicare134 mi
Robert Dixon, MD
Interventional Radiology
NPI 1598847188
101 MANNING DR
Chapel Hill, NC 27599
(919) 966-8596
✔ PECOS✔ Accepts Medicare134 mi
Sandeep Bagla, M.D.
Interventional Radiology
NPI 1689718611
2755 HARTLAND RD STE 110
Falls Church, VA 22043
(703) 783-5353
✔ PECOS✔ Accepts Medicare325 mi
Ahsan Siddiqi, MD
Pathology
NPI 1174919021
7700 FLOYD CURL DR
San Antonio, TX 78229
(210) 575-4000
✔ PECOS✔ Accepts Medicare1,254 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 Accreditation 34D0245849

Urology Associates Of Southeastern Nc PA · Wilmington, NC
Active · expires May 3, 2027
CLIA Number34D0245849
Laboratory TypePhysician Office
Certificate Effective DateMay 4, 2025
Certificate Expiration DateMay 3, 2027
Laboratory DirectorDr. Ahsan Siddiqi
Laboratory Phone(910) 763-6251
Laboratory LocationUrology Associates Of Southeastern Nc PA1905 Glen Meade Road, Wilmington, NC 28403
CLIA data matches this NPI record on: Address Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Urology Associates Of Southeastern North Carolina, PA's NPI number?

The NPI number for Urology Associates Of Southeastern North Carolina, PA is 1407875610. It was assigned to this organization in the NPPES registry on July 19, 2006.

Where is Urology Associates Of Southeastern North Carolina, PA located?

Urology Associates Of Southeastern North Carolina, PA is located at 1905 Glen Meade Rd, Wilmington, NC 28403. The listed phone number is (910) 763-6251.

What is Urology Associates Of Southeastern North Carolina, PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Urology Associates Of Southeastern North Carolina, PA enrolled in Medicare?

Yes. Urology Associates Of Southeastern North Carolina, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Urology Associates Of Southeastern North Carolina, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 4 Medicare specialties reassign their Medicare billing to Urology Associates Of Southeastern North Carolina, PA. 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. The largest specialties are Urology (5), Interventional Radiology (4) and Nurse Practitioner (1). Of these, 5 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Urology Associates Of Southeastern North Carolina, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 34D0245849) is associated with this NPI, valid through May 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Urology Associates Of Southeastern North Carolina, PA accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 32 other insurers list Urology Associates Of Southeastern North Carolina, 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 Urology Associates Of Southeastern North Carolina, PA was last updated on February 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.