WILMINGTON FAMILY PRACTICE PLLC
NPI 1992351910
Physician Assistant in Wilmington, NC

Active since August 15, 2019
201 N FRONT ST, SUITE 102, WILMINGTON, NC 28401(910) 500-6451(910) 500-6478 Get Directions Write a Review

NPPES record last updated: February 11, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 11, 2020, Feb 7, 2020, Nov 20, 2019 and 3 more (6 updates tracked since 2019).

About Wilmington Family Practice Pllc NPPES

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

WILMINGTON FAMILY PRACTICE PLLC (NPI 1992351910) is a healthcare organization registered as a physician assistant in Wilmington, North Carolina and active in the NPI registry since August 2019. The organization lists Tina Louise Hudson, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1992351910
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameWILMINGTON FAMILY PRACTICE PLLC
Location Address201 N FRONT ST, SUITE 102Wilmington, NC 28401-4055
Mailing Address201 N Front St, Suite 102 LlWilmington, NC 28401-4055 · (910) 500-6451 · Fax (910) 500-6478
Fax(910) 500-6478
Organization SubpartNo
Authorized OfficialTina Louise HudsonPractice Manager · (910) 500-6451
Enumeration DateAugust 15, 2019
Last NPPES UpdateFebruary 11, 20206 updates tracked since enumeration
✔ NPI 1992351910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
201 N FRONT ST, Wilmington, NC 28401

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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 Family Practice Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Wilmington Family Practice PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1750457024
3121 WRIGHTSVILLE AVE
Wilmington, NC 28403
(910) 769-6053
✔ PECOS✔ Accepts Medicare2.6 mi
Nurse Practitioner
NPI 1821295668
3971 BUSINESS 17 E
Bolivia, NC 28422
(910) 500-6451
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1841578424
90 SOUTHSIDE AVE SUITE 350
Asheville, NC 28801
(828) 277-4810
✔ PECOS✔ Accepts Medicare278 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Family Practice PLLC's NPI number?

The NPI number for Wilmington Family Practice PLLC is 1992351910. It was assigned to this organization in the NPPES registry on August 15, 2019.

Where is Wilmington Family Practice PLLC located?

Wilmington Family Practice PLLC is located at 201 N Front St Suite 102, Wilmington, NC 28401. The listed phone number is (910) 500-6451.

What is Wilmington Family Practice PLLC's specialty?

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

Is Wilmington Family Practice PLLC enrolled in Medicare?

Yes. Wilmington Family Practice PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wilmington Family Practice PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Wilmington Family Practice PLLC. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wilmington Family Practice PLLC accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of NC, Moda Health Plan, Inc. and Sanford Health Plan list Wilmington Family Practice PLLC 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 Family Practice PLLC was last updated on February 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.