LUCIEN SANDERS WILKINS (NPI# 1851539662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851539662 |
| Entity Type | Individual |
| Full Name | LUCIEN SANDERS WILKINS |
| Credential | M.D. |
| Practice Address |
120 Coastal Horizons Dr Shallotte NC 28470-6094 |
| Mailing Address |
615 Shipyard Blvd Wilmington NC 28412-6431 |
| Practice Telephone | 9107644515 |
| Practice Fax Number | 9103415779 |
| Mailing Telephone | (910) 343-0145 |
| Mailing Fax Number | 9103415779 |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2017-09-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 18588 | NC | Allopathic & Osteopathic Physicians |
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
18588 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
120 COASTAL HORIZONS DR |
| City | SHALLOTTE |
| State | NC |
| Zip Code | 28470-6094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700886595 | Kelly Collier | Physician Assistant | 120 Coastal Horizons Dr, Shallotte, NC 28470-6094 | 2005-07-22 |
| 1952909160 | Coastal Horizons Center Inc | Community/Behavioral Health | 120 Coastal Horizons Dr, Shallotte, NC 28470-6094 | 2020-10-12 |
| 1346867520 | Devin Nicole Tilley | Social Worker | 120 Coastal Horizons Dr, Shallotte, NC 28470-6094 | 2020-07-03 |
| 1750918496 | Lauren Madden Britton | Counselor | 120 Coastal Horizons Dr, Shallotte, NC 28470-6094 | 2020-03-24 |
| 1912549155 | Angela Moore Quigley | Counselor | 120 Coastal Horizons Dr, Shallotte, NC 28470-6094 | 2019-10-09 |
| 1235780610 | Emily Katherine Alford | Counselor | 120 Coastal Horizons Dr, Shallotte, NC 28470-6094 | 2019-09-26 |
| 1932756079 | Ashley Derr | Counselor | 120 Coastal Horizons Dr, Shallotte, NC 28470-6094 | 2019-08-22 |
| 1114589504 | Heather Marie Rubino | Social Worker | 120 Coastal Horizons Dr, Shallotte, NC 28470-6094 | 2019-07-05 |
| 1639737554 | Miranda Swiney | Nurse Practitioner | 120 Coastal Horizons Dr, Shallotte, NC 28470-6094 | 2019-06-05 |
| 1467939488 | Rachael Hodge | Counselor | 120 Coastal Horizons Dr, Shallotte, NC 28470-6094 | 2018-07-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609336981 | Open Gate Counseling Services Pllc | Counselor | 117 Holden Beach Rd Sw, Suite 109a, Shallotte, NC 28470 | 2019-03-22 |
| 1689188286 | Justice Pharmacy,inc | Pharmacy | 301 S Willis Dr, #112, Shallotte, NC 28470 | 2017-11-20 |
| 1609224914 | Emergeortho, Pa | Orthopaedic Surgery | 5160 Ocean Highway West, Shallotte, NC 28470 | 2016-05-26 |
| 1720458326 | Raleigh Durham Medical Group, Pa | Nurse Practitioner | 4748 Main Street, Shallotte, NC 28470 | 2015-09-25 |
| 1265741128 | Janet Rhyne Martin | Speech-Language Pathologist | 4902 Main Street, Suite D, Shallotte, NC 28470 | 2010-09-27 |
| 1225261555 | Jason Keeley Riemann | Chiropractor | 4911 Bridgers Rd, Shallotte, NC 28470 | 2009-09-03 |
| 1215108972 | Frederick A. Williams,dmd, Pa | Dentist | 343 Whiteville Road, Shallotte, NC 28470 | 2008-03-20 |
| 1053599316 | Brian Salvatore Lank | Chiropractor | 728 Village Rd, Sw, Shallotte, NC 28470 | 2008-02-08 |
| 1356539795 | Life Changers Intervention Services LLC | Community/Behavioral Health | 5039 Main St Suite 2, Shallotte, NC 28470 | 2007-10-10 |
| 1235267766 | Edmond Cochard | Psychologist | 120 Coastal Horizons Drive, Shalotte, NC 28470 | 2007-02-28 |
| Find all providers in zip 28470 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1447725098 | Addictioncare 101 | Psychiatry & Neurology | 311 4 E Judges Road, Wilmington, NC 28405 | 2018-10-10 |
| 1942719950 | Peak Wellness Clinic Pllc | Psychiatry & Neurology | 5252 B N Sharon Amity Road, Charlotte, NC 28215 | 2017-09-21 |
| 1124446430 | Hien Ngoc Nguyen | Psychiatry & Neurology | 2172 N Salem St Ste 105, Apex, NC 27523-6457 | 2014-04-03 |
| 1467798520 | Sabina Benel | Psychiatry & Neurology | 5252b N Sharon Amity Rd, Charlotte, NC 28215-0053 | 2012-12-18 |
| 1518099910 | Nzinga Ajabu Harrison | Psychiatry & Neurology | 123 Professional Park Dr Ste 101, Mooresville, NC 28117-5516 | 2007-03-12 |
| 1962585513 | Elizabeth Shirley Stanton | Psychiatry & Neurology | 129 Mayo St, Hillsborough, NC 27278 | 2006-10-24 |
| 1548373525 | Marvin J Hoffert | Psychiatry & Neurology | 1011 Schaub Dr, Suite 201, Raleigh, NC 27606-1862 | 2006-08-16 |
| 1437162096 | Gregory Oran Dill | Psychiatry & Neurology | 932 Hendersonville Rd Ste 105c, Asheville, NC 28803-6628 | 2006-08-14 |
| 1538183942 | Gary G. Leonhardt | Psychiatry & Neurology | 203 Government Cir, Greenville, NC 27834-8198 | 2006-07-27 |
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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.