Individual provider Active NPI

Mary Lindsey Stanbery, PA-C

  • Physician Assistant
  • Greensboro, NC
National Provider Identifier
1174925952
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-05279 Issued in NC
Practice address
1211 Virginia St
Greensboro, NC 27401-1313
Phone
(336) 275-0927
NPI assigned
Sep 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-05279 NC Primary

Addresses

Primary practice location

1211 Virginia St
Greensboro, NC 27401-1313

Mailing address

1130 N Church St
Suite 100
Greensboro, NC 27401-1038
Phone (336) 375-2300

Other practice location 1

1130 N Church St
Suite 100
Greensboro, NC 27401-1038
Phone (336) 375-2300

Other names 1

  • Ms. Mary Lindsey Anton Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address manton196515@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141222000892 NC Practitioner - Physician Assistant 4789907874 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Lincoln Memorial University Medical Department, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 832-7000

1200 N Elm St
Greensboro, NC 27401-1020

1211 Virginia St
Greensboro, NC 27401-1313
Phone (336) 275-0927

301 E Wendover Ave
Suite 411
Greensboro, NC 27401-1211
Phone (336) 832-3210

501 N Elam Ave
Greensboro, NC 27403-1118
Phone (336) 832-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-05279NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Orthopaedic Specialists, PA CurrentSince Oct 27, 2014 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Jan 7, 2019 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Aug 29, 2022 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Physician Assistant CurrentSince Aug 29, 2022 Accepting new patients
Moses Cone Physician Services, Inc. Past Accepting new patients

Locations

1131 N Church St
Greensboro, NC 27401
Phone (336) 358-5100

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

1130 N Church St
Ste 100
Greensboro, NC 27401
Phone (336) 375-2300

1211 Virginia St
Greensboro, NC 27401
Phone (336) 272-0012

1915 Lendew St
Greensboro, NC 27408
Phone (336) 275-3325

300 E Wendover Ave
Greensboro, NC 27401
Phone (336) 663-5205

300 W Northwood St
Greensboro, NC 27401
Phone (336) 275-0927

Interoperability endpoints

  • Direct secure messaging: manton196515@direct.conehealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1174925952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 N CHURCH ST",
            "address_2": "SUITE 100",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011038",
            "telephone_number": "336-375-2300",
            "fax_number": "336-375-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 VIRGINIA ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011313",
            "telephone_number": "336-275-0927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1130 N Church St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011038",
            "country_code": "US",
            "telephone_number": "336-375-2300",
            "fax_number": "336-375-2314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANBERY",
        "first_name": "MARY",
        "middle_name": "LINDSEY",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "manton196515@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "cone health direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1211 Virginia St",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274011313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "ANTON",
            "middle_name": "LINDSEY",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.