Amanda Jo Lott Marcellino, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

2016-00327 Issued in NC

Practice address

3509 Old Battleground Rd
Greensboro, NC 27410-2419

Phone

(336) 438-2148

Fax

(336) 698-3832

NPI assigned

Apr 15, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

99.15 of 100Reported as group

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Wake Forest Health Network LLC

  • Pediatrics Physician
  • Greensboro, NC
  • NPI 1477785756

  Multi-Specialty

  Medicare reassignment NPD
• Wake Forest Health Network LLC

  • Otolaryngology Physician
  • Greensboro, NC
  • NPI 1114293818

  Multi-Specialty

  NPD
• Wake Forest Health Network, LLC

  • Pediatrics Physician
  • Greensboro, NC
  • NPI 1053175299

  Multi-Specialty

  NPD
• Cornerstone Health Care LLC

  • Clinical Medical Laboratory
  • Conover, NC
  • NPI 1871159145
  NPD (past)

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1457794927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 OLD BATTLEGROUND RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102419",
            "telephone_number": "336-438-2148",
            "fax_number": "336-698-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 OLD BATTLEGROUND RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102419",
            "telephone_number": "336-438-2148",
            "fax_number": "336-698-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCELLINO",
        "first_name": "AMANDA JO",
        "middle_name": "LOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-15",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "201600327",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "2016-00327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessie Lauren Manthey, OTRL
• Emily K Manton
• Map Transport LLC
• Tavien Mapp, MD
• Johnita Ciara Marable, MED, LCMHCA
• Daniel Andrew Marchwiany, M.D.
• Marcia L Rementer DMD, P.a. IV
• Lauren Mardeusz, RD
• Tamara Marshall Marenick, PT
• Margachel Enterprises, LLC

• Otolaryngology Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Otolaryngology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.