Individual provider Active NPI

Amanda Marie Rose, MD

  • Pediatrics Physician
  • Thomasville, NC
National Provider Identifier
1346534799
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2014-00947 Issued in NC
Practice address
200 Arthur Dr
Thomasville, NC 27360-6275
Phone
(336) 475-2348
Fax
(336) 475-2100
NPI assigned
Jun 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2014-00947 NC Primary

Addresses

Primary practice location

200 Arthur Dr
Thomasville, NC 27360-6275

Mailing address

200 Arthur Dr
Thomasville, NC 27360-6275
Phone (336) 475-2348

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160526001590 NC Practitioner - Pediatric Medicine 4284924648 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2014-00947NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomasville-Archdale Pediatrics, PLLC Pediatrics CurrentSince May 1, 2016 Accepting new patients
Thomasville/Archdale Pediatrics PLLC PastSince May 1, 2016 Accepting new patients

Locations

200 Arthur Dr
Thomasville, NC 27360
Phone (336) 475-2348

189 Hickory Tree Rd
Ste 112
Winston Salem, NC 27107

Interoperability endpoints

  • Direct secure messaging: arose@tvillepeds.opdirect.net

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1346534799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ARTHUR DR",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273606275",
            "telephone_number": "336-475-2348",
            "fax_number": "336-475-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ARTHUR DR",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273606275",
            "telephone_number": "336-475-2348",
            "fax_number": "336-475-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-02",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2014-00947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, NC

Sources for this page

Verify at the official NPI Registry.