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

Jill Ann McCulley, MSPAC

Individual provider Physician Assistant · NPI 1407819964

Jill Ann McCulley, MSPAC is a Physician Assistant in Wilmington, North Carolina. Qualified in 2000, 26 years ago. Practices with Coastal Spine and Sports Medicine, PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
26
Licensed in
NC
In the registry since
2006
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Practice location Address checks out

1209 Culbreth Dr Ste 102
Wilmington, NC 28405-8318
Phone: (910) 834-8850
Fax: (910) 319-8851
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 103169 (NC)

Record details

NPI number1407819964
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPAC
Sole proprietorNo
NPI enumeratedApril 7, 2006
Last updated in NPPESFebruary 18, 2026
Certification dateFebruary 18, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Coastal Spine And Sports Medicine, Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Wilmington