Alvin K Antony, MD
Individual provider Active NPI Pain Medicine (Physical Medicine & Rehabilitation) Physician · Rocky Mount, NC
NPI 1124036694 · NPPES record last updated Dec 9, 2024
Key facts
- NPI
- 1124036694
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X
- License
- 2008-00005 (NC)
- Practice address
- 3101 Zebulon Rd
Rocky Mount, NC 27804-2426 - Phone
- (252) 442-4024
- Fax
- (252) 442-5056
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Interventional Pain Management
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2000
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Comprehensive Rehab of Wilson, Inc.
Practice addresses (Care Compare)
1811 Forest Hills Rd W
Wilson, NC 27893-3412
Phone (252) 243-7400
800 Tiffany Blvd
Suite 100
Rocky Mount, NC 27804-1807
Phone (252) 442-4024
Hospital & facility affiliations
- Unc Health Nash
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080808000107 | NC | Practitioner - Interventional Pain Management |
6709810799 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0063386 | MD | MD | Physical Medicine & Rehabilitation Physician |
| 2008-00005 | NC | MD | Physical Medicine & Rehabilitation Physician |
| 2306951 | NY | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Sports and Spine | Single Specialty | Current |
Accepting new patients |
| Twin City Cardiology Associates, P.a. | Single Specialty | Past | Accepting new patients |
| Bone & Joint Associates LLP | Single Specialty | Past | Accepting new patients |
Locations
306 Becker Dr
Roanoke Rapids, NC 27870
Phone (252) 537-9268
3101 Zebulon Rd
Rocky Mount, NC 27804
Phone (252) 442-4024
1026 N Winstead Ave
Rocky Mount, NC 27804
Phone (252) 442-4024
800 Tiffany Blvd
Ste 100
Rocky Mount, NC 27804
Phone (252) 442-4024
1700 Forest Hills Rd W
Wilson, NC 27893
Phone (252) 206-1775
Interoperability endpoints
- https://api.platform.athenahealth.com/8879/brand/1/csg/1/fhir/r4
- alvin.antony.1@8879.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | D0063386 | MD | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 2306951 | NY | |
| Physical Medicine & Rehabilitation Physician |
208100000X | 2008-00005 | NC | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 2008-00005 | NC | Yes |
Addresses
Primary practice location
3101 Zebulon Rd
Rocky Mount, NC 27804-2426
Mailing address
3101 Zebulon Rd
Rocky Mount, NC 27804-2426
Phone (252) 442-4024
Other practice location 1
1700 Forest Hills Rd W
Wilson, NC 27893-3411
Phone (252) 206-1775
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5909282 | Medicaid | NC |
Other providers in Rocky Mount, NC
- Jennifer Keith Ames
- Mark Wendell Anderson
- Hunter Andrews
- Angel of Hope Family Care Home LLC
- Angels of Mercy Home Health Care Inc
- Applied Behavioral Concepts for Families, LLC
- Aptitude Mental Health PLLC
- Aray of Hope House
- Nana Fosuwa Arkhurst-Arthur
- Armeta Homes, LLC
All providers in Rocky Mount, NC · Pain Medicine (Physical Medicine & Rehabilitation) Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.