AZALEA GYNECOLOGY PA - NPI 1740331164 - Specialist in Wilmington, NC

Q: What is Azalea Gynecology PA's NPI number?

The NPI number for Azalea Gynecology PA is 1740331164. It was assigned to this organization in the NPPES registry on January 13, 2007.

Q: What is Azalea Gynecology PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

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About Azalea Gynecology Pa NPPES

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

AZALEA GYNECOLOGY PA (NPI 1740331164) is a healthcare organization registered as a specialist in Wilmington, North Carolina and active in the NPI registry since January 2007. The organization holds a CLIA Microscopy certificate valid through May 7, 2028 and lists Pamela R Novosel, Owner / Doctor, as its authorized official.

NPPES Registry Identity

NPI1740331164

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameAZALEA GYNECOLOGY PA

Location Address736 MEDICAL CENTER DR STE 102Wilmington, NC 28401-4250

Mailing Address1814 New Hanover Medical Park DrWilmington, NC 28403-5350 · (910) 452-3666 · Fax (910) 397-0930

Phone(910) 452-3666

Fax(910) 397-0930

Organization SubpartNo

Authorized OfficialPamela R NovoselOwner / Doctor · (910) 452-3666

Enumeration DateJanuary 13, 2007

Last NPPES UpdateMay 27, 20252 updates tracked since enumeration

NPPES CertifiedMay 27, 2025

✔ NPI 1740331164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

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.

736 MEDICAL CENTER DR STE 102, Wilmington, NC 28401

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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 Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

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) 34D2304134

Azalea Gynecology, PA · Wilmington, NC

Active · expires May 7, 2028

CLIA Number34D2304134

Laboratory TypePhysician Office

Certificate Effective DateMay 8, 2026

Certificate Expiration DateMay 7, 2028

Laboratory DirectorDr. Pamela R. Novosel

Laboratory Phone(910) 452-3666

Laboratory LocationAzalea Gynecology, PA736 Medical Center Dr, Ste 102, Wilmington, NC 28401

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.

Other Providers at the Same Location NPPES 5

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

THERESA MORGAN HEATH LCAS, LCSW

Social Worker (Clinical)