VIDANT MEDICAL GROUP, LLC
NPI 1750125035
Clinic/Center - Rehabilitation, Cardiac Facilities in Roanoke Rapids, NC

NPI Status: Active since June 21, 2024

Contact Information

210 SMITH CHURCH RD STE B
ROANOKE RAPIDS, NC
ZIP 27870
Phone: (252) 847-2376
Fax: (252) 847-7337

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  • Organization
  • Clinic/Center
  • Rehabilitation, Cardiac Facilities
  • Accepts Insurance

About VIDANT MEDICAL GROUP, LLC

This page provides the complete NPI Profile along with additional information for Vidant Medical Group, Llc, a provider established in Roanoke Rapids, North Carolina operating as a Clinic/center, focusing in rehabilitation, cardiac facilities . The healthcare provider is registered in the NPI registry with number 1750125035 assigned on June 2024. The practitioner's primary taxonomy code is 261QR0404X. The provider is registered as an organization and their NPI record was last updated December 2025. Vidant Medical Group, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Anthony Wayne Bartholomew (Vp, Operations)

NPI
1750125035
Provider Legal Name
VIDANT MEDICAL GROUP, LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
210 SMITH CHURCH RD STE B ROANOKE RAPIDS, NC 27870
Location Phone
(252) 847-2376
Location Fax
(252) 847-7337
Mailing Address
210 SMITH CHURCH RD STE B ROANOKE RAPIDS, NC 27870
Mailing Phone
(252) 847-2376
Mailing Fax
(252) 847-7337
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-21-2024
Last Update Date
12-09-2025
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation, Cardiac Facilities

Taxonomy Code
261QR0404X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163WC3500XNursing Service Providers

Registered Nurse
Cardiac Rehabilitation

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard A | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Gold Standard A | Statewide Doctors - HMO
  • Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO
  • Blue Value Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
  • Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide Doctors - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANTHONY WAYNE BARTHOLOMEW

Authorized Official Title
VP, OPERATIONS
Authorized Official Phone
(252) 847-9067

Reviews for VIDANT MEDICAL GROUP, LLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1750125035, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
2
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 1 → 2 5 → 10 → 1 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 0 + 0 + 2 + 2 + 1 + 0 + 0 + 6 + 24 = 45

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 45 is 50. The difference is the calculated check digit.

50 - 45 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1750125035.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Internal Medicine (Pulmonary Disease)
210 SMITH CHURCH RD STE B
ROANOKE RAPIDS, NC 27870

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750125035, enumerated as an "organization" on June 21, 2024.

The provider is located at 210 SMITH CHURCH RD STE B ROANOKE RAPIDS, NC 27870 and the phone number is (252) 847-2376.

Clinic/Center with taxonomy code 261QR0404X and a focus in Rehabilitation, Cardiac Facilities.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to verify.