Siara Southerland Blackburn
Physician Assistant · Wilmington, NC
Siara Southerland Blackburn is a physician assistant with a practice address in Wilmington, North Carolina, and NPI 1063228468, issued on Dec 10, 2024. Check the license (North Carolina 0010-15739, as entered in NPPES) with the North Carolina board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Siara Southerland Blackburn
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 0010-15739 NC
Self-reported in NPPES; status is on the state search - Practice location
- 3787 Shipyard Blvd, Wilmington, NC 28403
- Phone
- (910) 332-3800
- Enumerated
- Dec 10, 2024
- Record last updated
- Jan 18, 2026
- Fax
- (910) 251-0421
- Medicare enrollment
- Enrolled (PECOS I20260218001333); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 3787 Shipyard Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Richard Bahner, MDOrthopaedic Hand Surgery Physician1407812068
- Brittany Barr, PA-CPhysician Assistant1831810100
- David Basirico, DPTPhysical Therapist1689337248
- Garrett Beyer, PA-CPhysician Assistant1720732738
- Erica Bradshaw, PTAPhysical Therapy Assistant1194031294
- Matthew Braswell, MDOrthopaedic Surgery Physician1417452954
Verify Siara Southerland Blackburn in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich North Carolina board licenses this profession
Search for license 0010-15739Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Emergeortho PAWilmington, NC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
369 physician assistant records list a practice address in Wilmington
They are 369 of the 6,526 NPPES records with a practice address in Wilmington, and 9,279 physician assistant records in North Carolina.
All 369 in Wilmington → All 9,279 in North Carolina → Every provider in Wilmington →
Other physician assistant records in North Carolina
- Charles Aaron, PACharlotte, NC1396718037
- Franco Abad, PAWinston Salem, NC1154017440
- Christine Abbata, P.A.Wilmington, NC1730303603
- Princess Abbey, P.A.Matthews, NC1144661133
- Mary Abbott, PACAsheville, NC1619919776
- Samantha Abbott, PARaleigh, NC1194463729
- Mikayla Abee ThomasKing, NC1174345680
- Seth AbelHickory, NC1235510009
- Melinda Abercrombie, PA-CCharlotte, NC1760172647
- Caroline Aberman, PA-CGreensboro, NC1477180123
Common questions
What is Siara Southerland Blackburn's NPI number?
Siara Southerland Blackburn's National Provider Identifier (NPI) is 1063228468, issued on Dec 10, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Siara Southerland Blackburn located?
The NPPES record lists a practice address at 3787 Shipyard Blvd, Wilmington, NC, 28403. Phone: (910) 332-3800. Providers update this record themselves, so call before visiting.
How can I verify Siara Southerland Blackburn's license?
NPPES lists North Carolina license number 0010-15739, as entered by the provider. Search the North Carolina board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.