Individual provider Active NPI

Agnes Blanche Delaney, PA

  • Physician Assistant
  • Greenville, NC
National Provider Identifier
1366445975
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001009744 Issued in NC
Practice address
850 WH Smith Blvd
Greenville, NC 27834-3763
Phone
(252) 758-3211
NPI assigned
May 27, 2005
Last updated
Jan 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085002145 IL
Physician Assistant 363A00000X 001009744 NC Primary

Addresses

Primary practice location

850 WH Smith Blvd
Greenville, NC 27834-3763

Mailing address

850 WH Smith Blvd
Greenville, NC 27834-3763
Phone (527) 583-2112

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adelaney298568@direct.vidanthealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040910001220 IL Practitioner - Physician Assistant 2264409192 Reassigns benefits to 1 organization
I20200410000751 NC Practitioner - Physician Assistant 2264409192 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCPC-18, LLCGroup PAC ID 2668741208, 31 clinicians
MCPC-5 LLCGroup PAC ID 4284881012, 31 clinicians
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians
Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians

Practice addresses (Care Compare)

155 Memorial Dr
Pinehurst, NC 28374-8710
Phone (910) 715-1000

205 Page Rd
Pinehurst, NC 28374-8749
Phone (910) 295-9211

401 A N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941

401 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941

417 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-8080

500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (843) 479-9033

606 E 12TH St
Washington, NC 27889-3409
Phone (252) 974-9460

608 E 12TH St
Vidant Multispecialty Clinic Washiington
Washington, NC 27889-3409
Phone (252) 974-7500

628 E 12TH St
Vidant Beaufort Hospitalists
Washington, NC 27889-3409
Phone (252) 975-4178

6322 Fayetteville Rd
Suite B
Raeford, NC 28376-7979
Phone (910) 878-5100

7 Regional Cir
Pinehurst, NC 28374-9796
Phone (910) 715-8600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.95 of 100Reported as group
Quality
65.05
Promoting interoperability
78
Improvement activities
40
Cost
87.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085002145ILMDPhysician Assistant
001009744NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Scotland Memorial Hospital Inc CurrentSince Oct 1, 2022 Accepting new patients
Vidant Medical Group LLC CurrentSince Mar 15, 2020 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Oct 1, 2022 Accepting new patients
FHPG, LLC CurrentSince Oct 6, 2024 Accepting new patients
MCPC-5, LLC Cardiovascular Disease CurrentSince Sep 19, 2022 Accepting new patients
MCPC-5, LLC Cardiovascular Disease CurrentSince Sep 19, 2022 Accepting new patients
Southern Illinois Medical Services, NFP CurrentSince Oct 1, 2011 Accepting new patients
FHPG, LLC CurrentSince Oct 6, 2024 Accepting new patients
Memorial Management Inc Past Accepting new patients
Unc Physicians Netwrok, LLC Cardiovascular Disease Past Accepting new patients
Prairie Cardiovascular Consultants LTD Cardiovascular Disease Past Accepting new patients
Marion Emergency Physicians, LLC Past Accepting new patients
Memorial Management Inc Past Accepting new patients

Locations

517 N Main St
Anna, IL 62906
Phone (618) 833-2295

2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300

409 W Oak St
Carbondale, IL 62901
Phone (618) 536-2565

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

850 Wh Smith Blvd
Greenville, NC 27834
Phone (252) 758-3211

108 Endo Ln
Ste 1
Hamlet, NC 28345
Phone (910) 205-8909

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

205 Page Rd
Pinehurst, NC 28374
Phone (910) 295-9211

6322 Fayetteville Rd
Ste B
Raeford, NC 28376
Phone (910) 878-6700

Interoperability endpoints

  • Direct secure messaging: adelaney109378@firsthealth.direct-ci.net
  • Direct secure messaging: adelaney298568@direct.vidanthealth.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 4

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1366445975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 WH SMITH BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343763",
            "telephone_number": "527-583-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 WH SMITH BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343763",
            "telephone_number": "252-758-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELANEY",
        "first_name": "AGNES",
        "middle_name": "BLANCHE",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085002145",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001009744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adelaney298568@direct.vidanthealth.com",
            "affiliation": "N",
            "address_1": "2100 Stantonsburg Rd",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278342818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.