OrganizationActive
Laney Wellness Center
NPI 1538414438 · Adolescent Medicine (Family Medicine) Physician · Wilmington, NC
Provider details
- NPI number
- 1538414438
- Entity type
- Organization
- Primary specialty
- Adolescent Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Wilmington Health Access for Teens, Inc
- Organization subpart
- Yes
- Authorized official
- Maria Van De Bovenkamp, Director of Administration(910) 790-9949
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4005 Oleander Dr
Wilmington, NC 28403-6816
Phone: (910) 790-9949
Fax: (910) 790-9455
Street-level locationGet directions
Mailing address
2700 N College Rd
Wilmington, NC 28405-8816
Registry dates
- Enumerated
- 2012-07-17
- Last updated
- 2012-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.