| Pelican Family Medicine, P.a. | |
|
5429 Wrightsville Ave Wilmington NC 28403-6513 | |
| (910) 792-1001 | |
| (910) 792-1004 |
| Full Name | Pelican Family Medicine, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 5429 Wrightsville Ave, Wilmington, North Carolina |
| Authorized Official Name and Position | Mark T Armitage (OWNER/PHYSICIAN) |
| Authorized Official Contact | 9107921001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pelican Family Medicine, P.a. 5429 Wrightsville Ave Wilmington NC 28403-6513 Ph: (910) 792-1001 | Pelican Family Medicine, P.a. 5429 Wrightsville Ave Wilmington NC 28403-6513 Ph: (910) 792-1001 |
| NPI Number | 1669480042 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 02/23/2011 |
| Medicare PECOS PAC ID | 0941360010 |
|---|---|
| Medicare Enrollment ID | O20081119000282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669480042 | NPI | - | NPPES |
| 89130GR | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 200101001 (North Carolina) | Primary |
| Provider Name | Georgann Houben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518982420 PECOS PAC ID: 5597708248 Enrollment ID: I20050603000825 |
| Provider Name | Mark S Armitage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912952847 PECOS PAC ID: 6103837356 Enrollment ID: I20060601000074 |
| Provider Name | Sandhya A Thomas Montilus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720047194 PECOS PAC ID: 8921186560 Enrollment ID: I20110408000196 |
| Provider Name | Melissa Erin Griffin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093943177 PECOS PAC ID: 0345497228 Enrollment ID: I20120828000756 |
| Provider Name | Marian Guill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598040685 PECOS PAC ID: 1153570205 Enrollment ID: I20121004000314 |
| Provider Name | Cheryl Pomaville Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316083520 PECOS PAC ID: 9133421308 Enrollment ID: I20160105001148 |
| Provider Name | Valerie Cousins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932332376 PECOS PAC ID: 9830215102 Enrollment ID: I20161003002574 |
| Provider Name | Jennifer Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710337332 PECOS PAC ID: 9739468307 Enrollment ID: I20190522001740 |
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