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

Benjamin Ryan Staley

Individual provider Medical Physician Assistant · NPI 1972220168

Benjamin Ryan Staley is a Physician Assistant in Wilmington, North Carolina. Qualified in 2022, 4 years ago. Practices with Novant Health Medical Group Coastal Region LLC, a 576-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1415 Physicians Dr
Wilmington, NC 28401-7338
Phone: (910) 662-9500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2553 31st St Apt E104, Denver, CO 80216-4824 — (240) 446-3700

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-15849 (NC)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1972220168
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 27, 2022
Last updated in NPPESDecember 26, 2025
Certification dateDecember 26, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Novant Health Medical Group Coastal Region Llc — 576 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wilmington