Mark Edward Anderson, MD

Individual provider Active NPI Obstetrics & Gynecology Physician · Greensboro, NC

NPI 1386616639 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1386616639
Entity type
Individual (NPI type 1)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
License
39232 (NC)
Practice address
719 Green Valley Rd
Suite 201
Greensboro, NC 27408
Phone
(336) 378-1110
Fax
(336) 378-9986
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 39232 NC Yes

Addresses

Primary practice location

719 Green Valley Rd
Suite 201
Greensboro, NC 27408

Mailing address

719 Green Valley Rd
Suite 201
Greensboro, NC 27408
Phone (336) 378-1110

Other identifiers

IdentifierTypeStateIssuer
8911222MedicaidNC

Other providers in Greensboro, NC

All providers in Greensboro, NC · Obstetrics & Gynecology Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.