Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angela Lynn Booth, PA

Individual provider Medical Physician Assistant · NPI 1174971600

Angela Lynn Booth, PA is a Physician Assistant in Wilmington, North Carolina. Qualified in 2016, 10 years ago. Practices with Coastal Horizons Center, Inc, a 50-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
10
Licensed in
NC
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

615 Shipyard Blvd
Wilmington, NC 28412-6431
Phone: (910) 343-0145
Fax: (910) 202-9966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7910 Us Hwy 117 S, Rocky Point, NC 28457-9431 — (910) 259-0668

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 001007254 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 001007254 (NC)

Record details

NPI number1174971600
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 25, 2016
Last updated in NPPESMay 4, 2022
Certification dateMay 4, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Coastal Horizons Center, Inc. — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Wilmington