Tideline Psych PLLC
NPI 1578384301 · Physician Assistant · Wilmington, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tideline Psych PLLC is a Physician Assistant organization in Wilmington, NC (NPI 1578384301).
Provider details
- NPI number
- 1578384301
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- William Bunting, Practice Manager(252) 341-3320
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Medical Physician Assistant363AM0700X
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Mailing address
Registry dates
- Enumerated
- 2024-10-23
- Last updated
- 2026-06-05
- Certified
- 2026-06-05
Frequently asked questions
- What is Tideline Psych PLLC's NPI number?
- Tideline Psych PLLC's National Provider Identifier (NPI) is 1578384301, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tideline Psych PLLC?
- Tideline Psych PLLC is classified in the NPPES registry as Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Tideline Psych PLLC located?
- Tideline Psych PLLC's practice location on file with NPPES is 226 N Front St # 129, Wilmington, NC 28401-3920.
- What is Tideline Psych PLLC's phone number?
- The practice phone number listed in the NPPES registry for Tideline Psych PLLC is (910) 469-4690.
- Does Tideline Psych PLLC accept Medicare?
- Tideline Psych PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tideline Psych PLLC?
- The authorized official listed on Tideline Psych PLLC's NPPES record is William Bunting, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tideline Psych PLLC's NPI active?
- Yes — Tideline Psych PLLC's NPI (1578384301) is active in the NPPES registry as of the last update on 2026-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.