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

Todd Mackillop, PA

Individual provider Physician Assistant · NPI 1164511572

Todd Mackillop, PA is a Physician Assistant in Wilmington, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2006
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 0010-03623 (NC)

Record details

NPI number1164511572
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 12, 2006
Last updated in NPPESMay 20, 2022
Certification dateMay 20, 2022

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