Amanda Diane Marshburn (NPI# 1003362765, PAC ID# 5395027593) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1003362765 |
| PAC ID by PECOS | 5395027593 |
| Professional Enrollment ID | I20170124001197 |
| Full Name | Amanda Diane Marshburn |
| Organization Legal Name | VIDANT MEDICAL GROUP LLC |
| Address |
2100 Stantonsburg Rd Greenville NC 27834-2818 |
| Phone Number | 2528471757 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0345343893 |
| Number of Group Practice Members | 650 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340042 | ONSLOW MEMORIAL HOSPITAL |
| 340120 | VIDANT DUPLIN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2528471757 | VIDANT MEDICAL GROUP LLC |
| 401 N Main St, Kenansville, NC 28349-8801 | 9102962815 | VIDANT MEDICAL GROUP LLC |
| 417 N Main St B, Kenansville, NC 28349-8801 | 9102750027 | VIDANT MEDICAL GROUP LLC |
| 701 Doctors Dr, Kinston, NC 28501-1584 | 2525592200 | VIDANT MEDICAL GROUP LLC |
| 8210 Richlands Hwy, Richlands, NC 28574-7198 | 9103247328 | VIDANT MEDICAL GROUP LLC |
| Organization Legal Name | VIDANT MEDICAL GROUP LLC |
| Physicians | 658 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew S Peach | Radiation Oncology | Vidant Medical Group LLC | 1209 Brown St, Washington, NC 27889-4671 |
| Charnissa Nicole Batts | Nurse Practitioner | Vidant Medical Group LLC | 1308 Highland Dr, Washington, NC 27889-3424 |
| Lashaunda Brown | Clinical Social Worker | Vidant Medical Group LLC | 210 W Liberty St, Williamston, NC 27892-1712 |
| Deebah A Uddin | Internal Medicine | Vidant Medical Group LLC | 111 Hospital Dr, Tarboro, NC 27886-2011 |
| Madeline Winslow | Nurse Practitioner | Vidant Medical Group LLC | 1124 Harvey Point Rd, Hertford, NC 27944-9767 |
| Deepti Ananthula | Internal Medicine | Vidant Medical Group LLC | 1380 Cowell Farm Rd, Washington, NC 27889-3431 |
| Seetharamprasad Madala | Internal Medicine | Vidant Medical Group LLC | 500 Academy St S, Vidant Roanoke Chowan Hospitalists, Ahoskie, NC 27910-3248 |
| John P Mcgee | Family Medicine | Vidant Medical Group LLC | 2450 Emerald Pl, Vidant Family Medicine Greenville, Greenville, NC 27834-5784 |
| Judith Tate Smithwick | Nurse Practitioner | Vidant Medical Group LLC | 1210 N Brown St, Vidant Womens Care Washington, Washington, NC 27889-4671 |
| David A Konzem | Physician Assistant | Vidant Medical Group LLC | 417 N Main St B, Kenansville, NC 28349-8801 |
| Street Address |
2100 STANTONSBURG RD |
| City | GREENVILLE |
| State | NC |
| Zip | 27834-2818 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas C Dimartino | Family Medicine | Vidant Medical Group LLC | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 |
| Kara A Regan | Gastroenterology | Vidant Medical Group LLC | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 |
| Radhamani Kannaiyan | Internal Medicine | Vidant Medical Group LLC | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 |
| Kelly Meads | Physician Assistant | Vidant Medical Group LLC | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 |
| Emily L Bray | Family Medicine | East Carolina University | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 |
| Tapan K Gayen | Internal Medicine | Vidant Medical Group LLC | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 |
| Misbah U Qadir | Hematology/oncology | Vidant Medical Group LLC | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 |
| Edward P Bridgeford | Internal Medicine | Vidant Medical Group LLC | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 |
| Shawn Alan Mccarthy | Physician Assistant | Vidant Medical Group LLC | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 |
| Jeffrey W Robb | Anesthesiology | East Carolina Anesthesia Associates Pllc | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gwendolyn Yn Knuckles | Obstetrics/gynecology | Carolina Clinic for Health and Wellness Pa | 2317 A Executive Park Cir, Greenville, NC 27834 |
| Sandra Bunch Walton | Clinical Nurse Specialist | 1990 Allen Rd B, Greenville, NC 27834-0058 | |
| Joseph L Murad | Obstetrics/gynecology | 1730 W 5th St, Greenville, NC 27834-1602 | |
| Samantha K Brown Cunningham | Psychologist, Clinical | East Carolina University | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 |
| Purushothaman Muthukanagaraj | Psychiatry | East Carolina University | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 |
| Robert E Delozier Iii | Nurse Practitioner | East Carolina University | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 |
| Richelle L Smallwood | Clinical Social Worker | East Carolina University | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 |
| Ashley J Britton | Psychologist, Clinical | East Carolina University | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 |
| Sugaree G Ganzman | Nurse Practitioner | East Carolina University | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 |
| Monica H Raynor | Clinical Social Worker | East Carolina University | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 |
| Find all physicians in zip 27834 | |||
| City | GREENVILLE |
| Zip Code | 27834 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GREENVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Amanda Diane Marshburn.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.