Healthcare Provider Details

I. General information

NPI: 1639465941
Provider Name (Legal Business Name): ERIKA ANNE DONALIS RPA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2011
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1721 ALLENS LN STE 100
WILMINGTON NC
28403-3662
US

IV. Provider business mailing address

PO BOX 936857
ATLANTA GA
31193-6857
US

V. Phone/Fax

Practice location:
  • Phone: 910-344-8900
  • Fax: 910-344-8902
Mailing address:
  • Phone: 910-662-6200
  • Fax: 910-686-1606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-12459
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number014812
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: