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WILMINGTON PRIMARY CARE, PA
NPI 1881819407
Internal Medicine in Wilmington, NC

Active since April 17, 2007CLIA 34D0245655 · Microscopy
1990 S 16TH ST, WILMINGTON, NC 28401(910) 762-7071(910) 762-9658 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wilmington Primary Care, Pa NPPES

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

WILMINGTON PRIMARY CARE, PA (NPI 1881819407) is a healthcare organization registered as an internal medicine in Wilmington, North Carolina and active in the NPI registry since April 2007. The organization holds a CLIA Microscopy certificate valid through February 10, 2027 and lists Fred H Van Nynatten, Owner, as its authorized official.

NPPES Registry Identity

NPI1881819407
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWILMINGTON PRIMARY CARE, PA
Location Address1990 S 16TH STWilmington, NC 28401-6647
Mailing Address1990 S 16th StWilmington, NC 28401-6647 · (910) 762-7071 · Fax (910) 762-9658
Phone(910) 762-7071
Fax(910) 762-9658
Organization SubpartNo
Authorized OfficialFred H Van NynattenOwner · (910) 762-7071
Enumeration DateApril 17, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1881819407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 19777
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1990 S 16TH ST, 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 Blue Cross and Blue Shield of NC.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) 34D0245655

Wilmington Primary Care PA · Wilmington, NC
Active · expires Feb 10, 2027
CLIA Number34D0245655
Laboratory TypePhysician Office
Certificate Effective DateFebruary 11, 2025
Certificate Expiration DateFebruary 10, 2027
Laboratory DirectorFred H. Van Nynatten MD
Laboratory Phone(910) 762-7071
Laboratory LocationWilmington Primary Care PA2505 South 17th St Suite 210, Wilmington, NC 28409
CLIA data matches this NPI record on: 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 2

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

DR. FRED H VANNYNATTEN MD
Internal Medicine
1990 S 16TH ST
WILMINGTON, NC 28401
New Hanover County (910) 762-7071
MS. SANDRA ELAINE WEIBLEY PA-C
Physician Assistant (Medical)
1990 S 16TH ST
WILMINGTON, NC 28401
New Hanover County (910) 762-7071

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 Wilmington Primary Care, PA's NPI number?

The NPI number for Wilmington Primary Care, PA is 1881819407. It was assigned to this organization in the NPPES registry on April 17, 2007.

Where is Wilmington Primary Care, PA located?

Wilmington Primary Care, PA is located at 1990 S 16th St, Wilmington, NC 28401. The listed phone number is (910) 762-7071.

What is Wilmington Primary Care, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Wilmington Primary Care, PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D0245655) is associated with this NPI, valid through February 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wilmington Primary Care, PA accept?

Health plans from Blue Cross and Blue Shield of NC list Wilmington Primary Care, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wilmington Primary Care, PA was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.