Individual provider Active NPI

Maria Sergeyevna Withrow

  • Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1457195422
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5022814 Issued in NC
Practice address
1121 N Church St
Greensboro, NC 27401-1007
Phone
(336) 988-7799
NPI assigned
Jun 24, 2024
Last updated
Nov 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5022814 NC Primary
Registered Nurse 163W00000X 271289 NC

Addresses

Primary practice location

1121 N Church St
Greensboro, NC 27401-1007

Mailing address

1007 Walker Ave
Greensboro, NC 27403
Phone (336) 344-5105

Other practice location 1

1220 Magnolia St
Greensboro, NC 27401-1309
Phone (336) 988-7799

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
I20251218000082 NC Practitioner - Nurse Practitioner 9638664600 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

300 E Wendover Ave
FL 2
Greensboro, NC 27401-1221

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
271289NCMDRegistered Nurse
5022814NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services, Inc. Nurse Practitioner CurrentSince Jan 1, 2026 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Jan 1, 2026 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Oct 19, 2025 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Oct 19, 2025 Accepting new patients
Randolph Hospital Inc. PastSince Aug 25, 2025 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Past Accepting new patients
Piedmont Stone Center PLLC PastSince Aug 25, 2025 Accepting new patients

Locations

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

1220 Magnolia St
Greensboro, NC 27401
Phone (336) 832-3200

1220 Magnolia St
#4A
Greensboro, NC 27401
Phone (336) 663-5700

1220 Magnolia St
#4B
Greensboro, NC 27401
Phone (336) 832-7033

2400 W Friendly Ave
Greensboro, NC 27403
Phone (336) 832-1100

2704 Henry St
Greensboro, NC 27405
Phone (336) 621-3777

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

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

601 S Main St
Reidsville, NC 27320
Phone (336) 342-6116

618 S Main St
Reidsville, NC 27320
Phone (336) 832-7965

Organizations & group practices 8

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": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1457195422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 WALKER AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27403",
            "telephone_number": "336-344-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 N CHURCH ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011007",
            "telephone_number": "336-988-7799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 Magnolia St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011309",
            "country_code": "US",
            "telephone_number": "336-988-7799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITHROW",
        "first_name": "MARIA",
        "middle_name": "SERGEYEVNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5022814",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "271289",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.