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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: August 02, 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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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHRYN M DONATO CRNA
Nurse Anesthetist, Certified Registered
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 847-4100
DR. STEPHEN ERIC GREGG M.D.
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 744-5262
DR. TYLER RICHARD FLEMING MD
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 847-4100
MARY CLAIRE CRON PA-C
Physician Assistant
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 816-2273
DR. SETH TYLER SCHIPINSKI DO
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 744-4611
BRIANNAE THEODORE
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 744-3229
SHELLEY ELIZABETH MATTHEWS
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (910) 298-3125
LEONARDO JOSE DIAZ GANDICA MD
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 744-5291

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.

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.