JACQUELINE CARROLL PA
NPI 1508957663
Physician Assistant in Wilmington, NC

Active since September 27, 2006
510 CAROLINA BAY DR, STE 110, WILMINGTON, NC 28403(910) 662-6000 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 20, 2021, Sep 25, 2020, Aug 31, 2020 and 39 more (42 updates tracked since 2016).

About Jacqueline Carroll Pa NPPES

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

JACQUELINE CARROLL PA (NPI 1508957663) is an individual physician assistant in Wilmington, North Carolina, licensed in North Carolina (104116) and active in the NPI registry since September 2006. She maintains 4 additional practice locations.

NPPES Registry Identity

NPI1508957663
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJACQUELINE CARROLLCredential: PA
Location Address510 CAROLINA BAY DR, STE 110Wilmington, NC 28403-2041
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJanuary 20, 202142 updates tracked since enumeration
NPI 1508957663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 104116
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
510 CAROLINA BAY DR, Wilmington, NC 28403

Secondary Practice Locations 4

Location 17910 US Hwy 117 S, Unit 120Rocky Point, NC 28457-9431 · Phone (910) 300-4500
Location 25145 S College RdWilmington, NC 28412-2207 · Phone (910) 792-1144
Location 37420 Market StWilmington, NC 28411-9453 · Phone (910) 686-2525
Location 41960 S 16th StWilmington, NC 28401-6676 · Phone (910) 343-9991

Other Providers at the Same Location NPPES 7

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

Pediatrics (Pediatric Cardiology)
510 CAROLINA BAY DR
WILMINGTON, NC 28403
Physician Assistant
510 CAROLINA BAY DR, STE 110
WILMINGTON, NC 28403
Nurse Practitioner
510 CAROLINA BAY DR, STE 110
WILMINGTON, NC 28403
Physician Assistant
510 CAROLINA BAY DR, STE 110
WILMINGTON, NC 28403
Obstetrics & Gynecology
510 CAROLINA BAY DR, SUITE 100
WILMINGTON, NC 28403
Nurse Practitioner
510 CAROLINA BAY DR, SUITE 100
WILMINGTON, NC 28403
Obstetrics & Gynecology
510 CAROLINA BAY DR, SUITE 100
WILMINGTON, NC 28403

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 Jacqueline Carroll's NPI number?

The NPI number for Jacqueline Carroll is 1508957663. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Jacqueline Carroll located?

Jacqueline Carroll practices at 510 Carolina Bay Dr Ste 110, Wilmington, NC 28403. The listed phone number is (910) 662-6000.

What is Jacqueline Carroll's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Carroll was last updated on January 20, 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.