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

Active since July 19, 2006CLIA Certified · 2 labs
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: July 26, 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 2 active CLIA laboratory certificates 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 Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 34D0897483

Urology Associates Of Southeastern Nc · Wilmington, NC
Active · expires Feb 6, 2027
CLIA Number34D0897483
Laboratory TypePhysician Office
Certificate Effective DateFebruary 7, 2025
Certificate Expiration DateFebruary 6, 2027
Laboratory DirectorPamela A. Sammons
Laboratory Phone(910) 763-6251
Laboratory LocationUrology Associates Of Southeastern Nc1905 Glen Meade Road, Wilmington, NC 28403
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 13

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

DR. EDWARD W WHITESIDES M.D.
Specialist
1905 GLEN MEADE RD
WILMINGTON, NC 28403
New Hanover County (910) 763-6251
LAUREN GAIL THAYER PA-C
Physician Assistant
1905 GLEN MEADE RD
WILMINGTON, NC 28403
New Hanover County (910) 763-6251
KAITLIN RIDDER M.D.
Urology
1905 GLEN MEADE RD
WILMINGTON, NC 28403
New Hanover County (910) 763-6251
DR. JOHN W LOVETT M.D.
Specialist
1905 GLEN MEADE RD
WILMINGTON, NC 28403
New Hanover County (910) 763-6251
ANNA PIEPER THOMPSON PA-C
Physician Assistant
1905 GLEN MEADE RD
WILMINGTON, NC 28403
New Hanover County (910) 421-2505
EDGAR WILSON KIRBY IV M.D.
Urology
1905 GLEN MEADE RD
WILMINGTON, NC 28403
New Hanover County (910) 763-6251
RICHARD DOUGLAS ULSTAD PAC
Physician Assistant
1905 GLEN MEADE RD
WILMINGTON, NC 28403
New Hanover County (910) 763-6251
CAROLINE JANE ZEIGLER FNP
Urology
1905 GLEN MEADE RD
WILMINGTON, NC 28403
New Hanover County (910) 763-6251

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.

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

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 Arizona Complete Health and 33 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 with the weekly NPPES data releases published by CMS.