Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
WILMINGTON MEDICAL GROUP PA
Active
Organization
WILMINGTON MEDICAL GROUP PA
Active
Other names
Holly Ridge Healthcare PA
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HENRY PRIDGEN M.D. (MEDICAL DIRECTOR)
(910) 329-1707
Entity
Organization
Contact information
Practice address
308 HWY 17 N, HOLLY RIDGE, NC 28445-7828
(910) 329-1707
(910) 251-7777
Mailing address
1925A OLEANDER DR, WILMINGTON, NC 28403-2334
(910) 251-8851
(910) 251-7777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012R8
BCBS
NC
01
—
230038
MEDICARE
NC
05
—
89012R8
—
NC
Enumeration date
01/30/2007
Last updated
11/20/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up