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MAGNOLIA FAMILY MEDICINE PC
NPI 1639319213
Family Medicine in Wilmington, NC

Active since February 23, 2009CLIA 34D0983773 · Waiver
3720 SHIPYARD BLVD, WILMINGTON, NC 28403(910) 796-3212(910) 796-3216 Get Directions Write a Review

NPPES record last updated: April 29, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 17, 2019, Nov 12, 2018, Nov 7, 2018 (3 updates tracked since 2018).

About Magnolia Family Medicine Pc NPPES

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

MAGNOLIA FAMILY MEDICINE PC (NPI 1639319213) is a healthcare organization registered as a family medicine in Wilmington, North Carolina and active in the NPI registry since February 2009. The organization holds a CLIA Waiver certificate valid through March 4, 2027 and lists Richard Adam Gutsin, Owner, as its authorized official.

NPPES Registry Identity

NPI1639319213
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMAGNOLIA FAMILY MEDICINE PC
Location Address3720 SHIPYARD BLVDWilmington, NC 28403-6147
Mailing Address3720 Shipyard BlvdWilmington, NC 28403-6147 · (910) 796-3212 · Fax (910) 796-3216
Phone(910) 796-3212
Fax(910) 796-3216
Organization SubpartNo
Authorized OfficialRichard Adam GutsinOwner · (910) 796-3212
Enumeration DateFebruary 23, 2009
Last NPPES UpdateApril 29, 20203 updates tracked since enumeration
NPPES CertifiedApril 29, 2020
✔ NPI 1639319213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 9500364
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.
3720 SHIPYARD BLVD, Wilmington, NC 28403
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Other Identifiers 1

Medicaid7937920NC

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

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 34D0983773

Magnolia Family Medicine · Wilmington, NC
Active · expires Mar 4, 2027
CLIA Number34D0983773
Laboratory TypePhysician Office
Certificate Effective DateMarch 5, 2025
Certificate Expiration DateMarch 4, 2027
Laboratory DirectorRichard A. Gutsin
Laboratory Phone(910) 772-1772
Laboratory LocationMagnolia Family Medicine3720 Shipyard Blvd, Wilmington, NC 28403
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

ASSOCIATES IN GYNECOLOGY
Obstetrics & Gynecology (Gynecology)
3720 SHIPYARD BLVD
WILMINGTON, NC 28403
New Hanover County (910) 798-1505
SEASHORE WOMEN'S HEALTH, PLLC
Obstetrics & Gynecology (Gynecology)
3720 SHIPYARD BLVD
WILMINGTON, NC 28403
New Hanover County (910) 622-3789
DR. NADINE MARIE ANTONELLI M.D.
Obstetrics & Gynecology
3720 SHIPYARD BLVD
WILMINGTON, NC 28403
New Hanover County (910) 622-3789

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 Magnolia Family Medicine PC's NPI number?

The NPI number for Magnolia Family Medicine PC is 1639319213. It was assigned to this organization in the NPPES registry on February 23, 2009.

Where is Magnolia Family Medicine PC located?

Magnolia Family Medicine PC is located at 3720 Shipyard Blvd, Wilmington, NC 28403. The listed phone number is (910) 796-3212.

What is Magnolia Family Medicine PC's specialty?

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

Does Magnolia Family Medicine PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0983773) is associated with this NPI, valid through March 4, 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 Magnolia Family Medicine PC was last updated on April 29, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.