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VIDANT MEDICAL GROUP AFFILIATES LLC
NPI 1437549896
Clinic/Center - Multi-Specialty in Greenville, NC

Active since January 23, 2015
2100 STANTONSBURG RD, GREENVILLE, NC 27834(252) 847-2181(252) 847-2213 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 7, 2023, Sep 11, 2019 (2 updates tracked since 2019).

About Vidant Medical Group Affiliates Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIDANT MEDICAL GROUP AFFILIATES LLC (NPI 1437549896) is a healthcare organization registered as a multi-specialty in Greenville, North Carolina and active in the NPI registry since January 2015. The organization lists Andrew K Zukowski, Cfo, as its authorized official.

NPPES Registry Identity

NPI1437549896
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameVIDANT MEDICAL GROUP AFFILIATES LLC
Location Address2100 STANTONSBURG RDGreenville, NC 27834-2818
Mailing Address2100 Stantonsburg RdGreenville, NC 27834-2818 · (252) 847-2181 · Fax (252) 847-2213
Phone(252) 847-2181
Fax(252) 847-2213
Organization SubpartYesParent: Vidant Medical Group Llc
Authorized OfficialAndrew K ZukowskiCfo · (252) 847-4582
Enumeration DateJanuary 23, 2015
Last NPPES UpdateJune 7, 20232 updates tracked since enumeration
NPPES CertifiedJune 7, 2023
✔ NPI 1437549896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
2100 STANTONSBURG RD, Greenville, NC 27834
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vidant Medical Group Affiliates Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

39

Medicare enrollment records show 39 clinicians reassign Medicare billing to Vidant Medical Group Affiliates LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 18 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Urology8
Cardiovascular Disease (Cardiology)5
Emergency Medicine5
Internal Medicine4
Nurse Practitioner4
Pulmonary Disease4
Hospitalist2
Medical Oncology2
5 other specialties5

Nearest to this location (20)

See all 39
Rosiland Buck, FNP, MSN
Nurse Practitioner
NPI 1578782819
2100 STANTONSBURG RD
Greenville, NC 27834
(252) 847-2619
✔ PECOS✔ Accepts MedicareSame address
Jennifer Stahl, M.D.
Pulmonary Disease
NPI 1932420916
2100 STANTONSBURG RD
Greenville, NC 27834
(252) 744-4757
✔ PECOS✔ Accepts MedicareSame address
Pamela Lepera, DO
Medical Oncology
NPI 1053304212
600 MOYE BLVD
Greenville, NC 27834
(252) 744-1888
✔ PECOS✔ Accepts Medicare0.2 mi
Robert Steed, MD
Cardiovascular Disease (Cardiology)
NPI 1366424731
115 HEART DR
Greenville, NC 27834
(252) 744-4400
✔ PECOS0.3 mi
George Crowl, MD
Physical Medicine and Rehabilitation
NPI 1770540296
604 MEDICAL DR PHYSICIAN REHABILITATION CENTER
Greenville, NC 27834
(252) 847-6600
✔ PECOS0.3 mi
David Frazier, MD
Cardiovascular Disease (Cardiology)
NPI 1114076395
2340 HEMBY LANE SUITE 100
Greenville, NC 27834
(252) 317-3030
✔ PECOS✔ Accepts Medicare0.3 mi
Teresa Gross, F.N.P.
Nurse Practitioner
NPI 1629287610
2355 W ARLINGTON BLVD
Greenville, NC 27834
(252) 744-2545
✔ PECOS✔ Accepts Medicare0.4 mi
Lacy Hobgood, MD, FACP, FAAP
Internal Medicine
NPI 1609911270
517 MOYE BLVD
Greenville, NC 27834
(252) 744-2335
✔ PECOS✔ Accepts Medicare0.4 mi
John Fogarty, MD
Pulmonary Disease
NPI 1033112081
1850 W ARLINGTON BLVD
Greenville, NC 27834
(252) 752-6101
✔ PECOS✔ Accepts Medicare0.6 mi
Robert Dietrich, MD
Pulmonary Disease
NPI 1871596932
1850 W ARLINGTON BLVD
Greenville, NC 27834
(252) 752-6101
✔ PECOS0.6 mi
Jayesh Patel, MD
Cardiovascular Disease (Cardiology)
NPI 1831181080
1850 W ARLINGTON BLVD
Greenville, NC 27834
(252) 413-6725
✔ PECOS✔ Accepts Medicare0.6 mi
David Fairbrother, MD
Cardiovascular Disease (Cardiology)
NPI 1710961164
1018 W H SMITH BLVD
Greenville, NC 27834
(252) 689-6333
✔ PECOS0.6 mi
Caroline Ames, M.D.
Urology
NPI 1699861096
275 BETHESDA DR
Greenville, NC 27834
(252) 752-5077
✔ PECOS✔ Accepts Medicare0.8 mi
Matthew Collins, MD
Urology
NPI 1649392853
275 BETHESDA DR
Greenville, NC 27834
(252) 752-5077
✔ PECOS✔ Accepts Medicare0.8 mi
Jonathan Hamilton, M.D.
Urology
NPI 1609965508
275 BETHESDA DR
Greenville, NC 27834
(252) 752-5077
✔ PECOS✔ Accepts Medicare0.8 mi
Gregory Murphy, MD
Urology
NPI 1669459764
275 BETHESDA DR
Greenville, NC 27834
(252) 752-5077
✔ PECOS✔ Accepts Medicare0.8 mi
Rustan Van Wyk, D.O.
Urology
NPI 1861474439
275 BETHESDA DR
Greenville, NC 27834
(252) 752-5077
✔ PECOS✔ Accepts Medicare0.8 mi
Kristel Mclawhorn, M.D.
Nephrology
NPI 1447475900
EASTERN NEPHROLOGY ASSOCIATES, PLLC 511 PALADIN DRIVE
Greenville, NC 27834
(252) 752-8880
✔ PECOS✔ Accepts Medicare2.1 mi
Kimberly Smith, M.D.
Emergency Medicine
NPI 1225265366
628 E 12TH ST
Washington, NC 27889
(252) 975-4319
✔ PECOS✔ Accepts Medicare21 mi
Radhakrishnan Ramaraj, MD
Cardiovascular Disease (Cardiology)
NPI 1205009891
710 ERWIN RD
Dunn, NC 28334
(910) 304-1212
✔ PECOS✔ Accepts Medicare72 mi
See all 39 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vidant Medical Group Affiliates LLC's NPI number?

The NPI number for Vidant Medical Group Affiliates LLC is 1437549896. It was assigned to this organization in the NPPES registry on January 23, 2015.

Where is Vidant Medical Group Affiliates LLC located?

Vidant Medical Group Affiliates LLC is located at 2100 Stantonsburg Rd, Greenville, NC 27834. The listed phone number is (252) 847-2181.

What is Vidant Medical Group Affiliates LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Vidant Medical Group Affiliates LLC enrolled in Medicare?

Yes. Vidant Medical Group Affiliates LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vidant Medical Group Affiliates LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 39 clinicians in 13 Medicare specialties reassign their Medicare billing to Vidant Medical Group Affiliates LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Urology (8), Cardiovascular Disease (Cardiology) (5) and Emergency Medicine (5). Of these, 2 practice at this address and 18 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Vidant Medical Group Affiliates LLC accept?

Health plans from Cigna Healthcare list Vidant Medical Group Affiliates LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vidant Medical Group Affiliates LLC was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.