Individual provider Active NPI

Anthony Grant Thaxton, MD

  • Body Imaging Physician
  • Greenville, NC
National Provider Identifier
1407884695
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
2001-01290 Issued in NC
Practice address
2101 W Arlington Blvd Ste 210
Greenville, NC 27834-5758
Phone
(252) 752-5000
Fax
(252) 931-7694
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 2001-01290 NC Primary

Addresses

Primary practice location

2101 W Arlington Blvd Ste 210
Greenville, NC 27834-5758

Mailing address

PO Box 30750
Greenville, NC 27833-0750
Phone (252) 752-5000

Other identifiers 1

IdentifierTypeStateIssuer
89135Y4MedicaidNC

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
I20031119000118 NC Practitioner - Diagnostic Radiology 1759295132 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Emory University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Radiologists IncGroup PAC ID 2466355383, 92 clinicians
East Carolina UniversityGroup PAC ID 0244143246, shared by 3 NPIs, 499 clinicians

Practice addresses (Care Compare)

2101 W Arlington Blvd
Suite 210
Greenville, NC 27834-5758
Phone (252) 752-5000

402 Bowman Gray Dr
Greenville, NC 27834-7209
Phone (252) 752-9000

Hospital & facility affiliations

  • Ecu Health Medical Center Hospital, Greenville, NC, CCN 340040
  • Carteret General Hospital Hospital, Morehead City, NC, CCN 340142
  • The Outer Banks Hospital, Inc Hospital, Nags Head, NC, CCN 341324
  • Vidant Chowan Hospital Hospital, Edenton, NC, CCN 341318
  • Sentara Albemarle Medical Center Hospital, Elizabeth City, NC, CCN 340109

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
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2001-01290NCMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina University CurrentSince Sep 27, 2022 Accepting new patients
Eastern Radiologists Inc Body Imaging CurrentSince Jul 10, 2006 Accepting new patients
East Carolina University Current Accepting new patients
Sentara Advanced Imaging Solutions, LLC CurrentSince Jan 1, 2024 Accepting new patients
East Carolina University CurrentSince Dec 1, 2025 Accepting new patients

Locations

2101 W Arlington Blvd
Ste 210
Greenville, NC 27834
Phone (252) 931-7638

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

402 Bowman Gray Dr
Greenville, NC 27834
Phone (252) 744-9490

2101 W Arlington Blvd
#210
Greenville, NC 27834

600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111

630 E 11th St
Washington, NC 27889
Phone (252) 946-2137

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1407884695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30750",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278330750",
            "telephone_number": "252-752-5000",
            "fax_number": "252-931-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 W ARLINGTON BLVD STE 210",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345758",
            "telephone_number": "252-752-5000",
            "fax_number": "252-931-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAXTON",
        "first_name": "ANTHONY",
        "middle_name": "GRANT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NC",
            "license": "2001-01290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89135Y4",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.