SEASHORE FAMILY MEDICAL, PLLC (NPI# 1720556491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720556491 |
| Entity Type | Organization |
| Organization Name | SEASHORE FAMILY MEDICAL, PLLC |
| Practice Address |
10195 Beach Dr Sw Ste 5 Calabash NC 28467-2757 |
| Mailing Address |
10195 Beach Dr Sw Ste 5 Calabash NC 28467-2757 |
| Practice Telephone | 9105750884 |
| Practice Fax Number | 9195750197 |
| Mailing Telephone | 9105750884 |
| Mailing Fax Number | 9105750197 |
| Enumeration Date | 2018-11-11 |
| Last Update Date | 2020-07-01 |
| Authorized Official Name | SHARON RISING WILKERSON (OWNER) |
| Authorized Official Telephone | 9105750884 |
| Authorized Official Credential | FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10195 BEACH DR SW STE 5 |
| City | CALABASH |
| State | NC |
| Zip Code | 28467-2757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376964577 | Sharon Rising Wilkerson | Nurse Practitioner | 10195 Beach Dr Sw Ste 5, Calabash, NC 28467-2757 | 2013-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578052098 | Felicia Lavern Gore | Adult Companion | 330 Treeacres Circle Nw, Calabash, NC 28467 | 2018-05-10 |
| 1063914000 | Connor David Price | Occupational Therapist | 9600 Number 5 School Road Northwest, Calabash, NC 28467 | 2018-03-06 |
| 1508115569 | Edward Ragland Thomas Iv | Pharmacist | 10227 Beach Drive Sw, Calabash, NC 28467 | 2012-09-06 |
| 1194941286 | Calabash Family Pharmacy Inc | Pharmacy | 10080 Beach Drive Sw, Calabash, NC 28467 | 2007-04-17 |
| 1639210529 | Forever Yours, Inc | Durable Medical Equipment & Medical Supplies | 262 Koolabrew Drive, Calabash, NC 28467 | 2007-02-12 |
| 1629123807 | Thomas Drugs Inc | Durable Medical Equipment & Medical Supplies | 10227 Beach Drive, Calabash, NC 28467 | 2007-01-25 |
| 1417027046 | Pamela C Neves | Counselor | Old Georgetown Centre Hwy 179, Suite 9, Calabash, NC 28467 | 2006-11-09 |
| 1164533493 | David Philip Deeb | Dentist | 10271 Beach Dr Sw, Calabash, NC 28467 | 2006-08-31 |
| 1144331471 | Deeb & Fanning Dds Pa | Dentist | 10271 Beach Drive Sw, Calabash, NC 28467 | 2006-08-31 |
| 1588770002 | Ted Hadley Sanders | Dentist | 9220-1 Beach Dr Sw, Calabash, NC 28467 | 2006-08-21 |
| Find all providers in zip 28467 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376964577 | Sharon Rising Wilkerson | Nurse Practitioner | 10195 Beach Dr Sw Ste 5, Calabash, NC 28467-2757 | 2013-12-16 |
| 1821186081 | Carolina Shores Healthcare, LLC | Nurse Practitioner | 9869 Ocean Hwy W Ste 10, Calabash, NC 28467-2636 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811144 | Alice Bradshaw Callis | Nurse Practitioner | 110 Widgeon Dr, Currituck, NC 27929-9628 | 2020-11-04 |
| 1417558990 | Munira Amirali Ward | Nurse Practitioner | 2617 Valley Haven Dr, Raleigh, NC 27603-3197 | 2020-11-03 |
| 1245830215 | Whitney Rains Taheri | Nurse Practitioner | 3004 Tower Blvd, Durham, NC 27707-2542 | 2020-10-29 |
| 1972103232 | Tauscha Alyse Gerald | Nurse Practitioner | 48 Flora Dr, Benson, NC 27504-8076 | 2020-10-27 |
| 1265031413 | Autumn Grimm | Nurse Practitioner | 511 Lauchwood Dr, Laurinburg, NC 28352-5502 | 2020-10-20 |
| 1619576857 | Candace Allen | Nurse Practitioner | 1215 W Clemmonsville Rd, Winston Salem, NC 27127-4521 | 2020-10-20 |
| 1952900268 | Jennifer Marie Wolfe | Nurse Practitioner | 831 E Morehead St Ste 900, Charlotte, NC 28202-2726 | 2020-10-19 |
| 1720686256 | Sheri Elizabeth Maclean | Nurse Practitioner | 117 Ivy Brook Ln, Chapel Hill, NC 27516-8084 | 2020-10-16 |
| 1326645649 | Christina Mccartney Bulluck | Nurse Practitioner | 105 Nassau Ct, Nashville, NC 27856-1656 | 2020-10-09 |
| 1609473172 | Amy Marie Errichetti | Nurse Practitioner | 1349 Upper Brush Creek Rd, Fairview, NC 28730-9217 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.