DR. MARCUS AVERY THREADCRAFT MD
NPI 1922688324
Student in an Organized Health Care Education/Training Program in Durham, NC

Q: What is Marcus Threadcraft's NPI number?

The NPI number for Marcus Threadcraft is 1922688324. It was assigned to this individual provider in the NPPES registry on April 9, 2021.

Q: What is Marcus Threadcraft's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 09, 2021PECOS Enrolled

2301 ERWIN RD, DURHAM, NC 27705(919) 684-8111 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2025, May 30, 2025, Feb 19, 2025 and 4 more (7 updates tracked since 2021).

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About Dr. Marcus Avery Threadcraft Md NPPES

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

DR. MARCUS AVERY THREADCRAFT MD (NPI 1922688324) is an individual student in an organized health care education/training program in Durham, North Carolina and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1922688324

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. MARCUS AVERY THREADCRAFTCredential: MD

Location Address2301 ERWIN RDDurham, NC 27705-4699

Mailing Address2301 Erwin RdDurham, NC 27705-4699

Phone(919) 684-8111

Sole ProprietorNo

Enumeration DateApril 9, 2021

Last NPPES UpdateJune 9, 20257 updates tracked since enumeration

NPPES CertifiedJune 9, 2025

✔ NPI 1922688324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedInternal MedicineTaxonomy 207R00000X · License 70116 (TN)

2301 ERWIN RD, Durham, NC 27705

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Secondary Practice Locations 2

Location 11310 24th Ave SNashville, TN 37212-2637 · Phone (615) 225-3700 · Fax (615) 873-8121

Location 23601 The Vanderbilt ClinicNashville, TN 37232-2637 · Phone (615) 322-3000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marcus Avery Threadcraft Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

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