WRIGHTSVILLE FAMILY PRACTICE, PA
NPI 1497769103
Family Medicine in Wilmington, NC

Active since July 28, 2006CLIA 34D0984711 · Microscopy
1414 39TH STREET, WILMINGTON, NC 28403(910) 792-1231(910) 799-8118 Get Directions Write a Review

NPPES record last updated: March 10, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wrightsville Family Practice, Pa NPPES

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

WRIGHTSVILLE FAMILY PRACTICE, PA (NPI 1497769103) is a healthcare organization registered as a family medicine in Wilmington, North Carolina and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through March 27, 2027 and lists Sharon Ferris Williams, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1497769103
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWRIGHTSVILLE FAMILY PRACTICE, PA
Location Address1414 39TH STREETWilmington, NC 28403
Mailing Address1414 39th StreetWilmington, NC 28403 · (910) 792-1231 · Fax (910) 799-8118
Fax(910) 799-8118
Organization SubpartNo
Authorized OfficialSharon Ferris WilliamsOffice Manager · (910) 792-1231
Enumeration DateJuly 28, 2006
Last NPPES UpdateMarch 10, 2009
✔ NPI 1497769103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1414 39TH STREET, Wilmington, NC 28403

Other Identifiers 5

Medicare UPINF36078
Medicare PIN2327958NC
Medicare UPING06165
Medicare ID-Type Unspecified2008077
Medicare ID-Type Unspecified224026A

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wrightsville Family Practice, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Wrightsville Family Practice, PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1265540751
1414 39TH STREET
Wilmington, NC 28403
(910) 792-1231
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1174621031
1414 39TH STREET
Wilmington, NC 28403
(910) 792-1231
✔ PECOS✔ Accepts MedicareSame address

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 for Provider-Performed Microscopy Procedures (PPMP) 34D0984711

Wrightsville Family Practice PA · Wilmington, NC
Active · expires Mar 27, 2027
CLIA Number34D0984711
Laboratory TypePhysician Office
Certificate Effective DateMarch 28, 2025
Certificate Expiration DateMarch 27, 2027
Laboratory DirectorWilliam H. Jones
Laboratory Phone(910) 792-1231
Laboratory LocationWrightsville Family Practice PA1414 39th St, Wilmington, NC 28403
CLIA data matches this NPI record on: Address Name 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.

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 Wrightsville Family Practice, PA's NPI number?

The NPI number for Wrightsville Family Practice, PA is 1497769103. It was assigned to this organization in the NPPES registry on July 28, 2006.

Where is Wrightsville Family Practice, PA located?

Wrightsville Family Practice, PA is located at 1414 39th Street, Wilmington, NC 28403. The listed phone number is (910) 792-1231.

What is Wrightsville Family Practice, PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Wrightsville Family Practice, PA enrolled in Medicare?

Yes. Wrightsville Family Practice, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wrightsville Family Practice, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Wrightsville Family Practice, 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wrightsville Family Practice, PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D0984711) is associated with this NPI, valid through March 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wrightsville Family Practice, PA was last updated on March 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.