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Wilmington Family Practice Pllc

Primary Care Clinic/Center in Bolivia, NC · enumerated 2019 · authorized official Annette Crouse, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194361923

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Registry record

Entity type Organization (Type 2)
Legal business name Wilmington Family Practice Pllc
Other name <Unavail>
Practice address 3971 Business 17 E, Bolivia, NC, 28422
Phone (910) 500-6451
Fax (910) 500-6458
Enumeration date Nov 27, 2019
Last updated in NPPES Dec 12, 2024

Taxonomy & classification

207QA0401X Addiction Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Secondary
261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Annette Crouse
Title Office Manager
Phone (910) 500-6451

Other identifiers

Identifier Type State Issuer
1669918223 Other NC NPI
1821295668 Medicaid NC -
1992351910 Medicaid NC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-12-12. Verify at npiregistry.cms.hhs.gov.
Where is Wilmington Family Practice Pllc located?
The practice location on file with NPPES is in Bolivia, NC.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-12-12.