WILMINGTON INTERNAL MEDICINE PA
NPI 1639201056
Internal Medicine in Wilmington, NC
About Wilmington Internal Medicine Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILMINGTON INTERNAL MEDICINE PA (NPI 1639201056) is a healthcare organization registered as an internal medicine in Wilmington, North Carolina and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through June 6, 2027 and lists Wendy Michelle Young, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wilmington Internal Medicine Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Wilmington Internal Medicine PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 Waiver 34D0245660
Wilmington Internal Medicine, PA · Wilmington, NCFrequently 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 Wilmington Internal Medicine PA's NPI number?
The NPI number for Wilmington Internal Medicine PA is 1639201056. It was assigned to this organization in the NPPES registry on March 12, 2007.
Where is Wilmington Internal Medicine PA located?
Wilmington Internal Medicine PA is located at 2215 Canterwood Dr, Wilmington, NC 28401. The listed phone number is (910) 762-4600.
What is Wilmington Internal Medicine PA's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Wilmington Internal Medicine PA enrolled in Medicare?
Yes. Wilmington Internal Medicine PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wilmington Internal Medicine PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Wilmington Internal Medicine 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 Internal Medicine (3) and Nurse Practitioner (3). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Wilmington Internal Medicine PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D0245660) is associated with this NPI, valid through June 6, 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 Wilmington Internal Medicine PA was last updated on December 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Wilmington Internal Medicine Pa · NPI 1639201056
Internal Medicine organization in Wilmington, North Carolina. Organization record, active in the CMS NPPES registry since March 12, 2007.
## Identity
- **NPI:** 1639201056 (Entity type: Organization)
- **Enumerated:** March 12, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Wendy Young, PRACTICE MANAGER
## Practice location
- **Address:** 2215 CANTERWOOD DR, Wilmington, NC 28401-7301
- **Phone:** (910) 762-4600 · **Fax:** (910) 762-9483
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (3), Nurse Practitioner (3); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 27, 2012
- **Other identifiers:** Other 0176C (NC); Medicare ID-Type Unspecified 2344407 (NC); Medicaid 7978365 (NC); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1639201056) · Data from the CMS NPPES public registry.