Individual provider Active NPI

Anne Marie Growney, PA-C

  • Physician Assistant
  • Jacksonville, NC
National Provider Identifier
1457897282
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110005610 Issued in VA
Practice address
3280 Henderson Dr Ste C
Jacksonville, NC 28546-5290
Phone
(910) 915-8450
Fax
(888) 745-7026
NPI assigned
Jan 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110005610 VA Primary

Addresses

Primary practice location

3280 Henderson Dr Ste C
Jacksonville, NC 28546-5290

Mailing address

3280 Henderson Dr Ste C
Jacksonville, NC 28546-5290
Phone (910) 914-8450

Other practice location 1

3920 Bridge Rd # A
Suite 202
Suffolk, VA 23435
Phone (757) 983-0330

Other names 1

  • Anne Maria Weinhold Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, 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
I20170502000005 VA Practitioner - Physician Assistant 4385921246 Reassigns benefits to 1 organization
I20230907003889 NC Practitioner - Physician Assistant 4385921246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Jefferson Medical College of Thomas Jefferson University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Cardiology Sleep and Obesity Center PCGroup PAC ID 7719106186, 3 clinicians

Practice addresses (Care Compare)

1136 US Hwy 258 N
Suite 102B
Kinston, NC 28504-7724
Phone (910) 358-1161

3280 Henderson Dr
Suite C
Jacksonville, NC 28546-5290
Phone (910) 358-1161

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110005610VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince May 27, 2017 Accepting new patients
Sentara Medical Group Past Accepting new patients

Locations

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

3920 Bridge Rd
#A202
Suffolk, VA 23435
Phone (757) 983-0330

2000 Meade Pkwy
Suffolk, VA 23434
Phone (757) 539-0251

Interoperability endpoints

  • Direct secure messaging: anne.growney@3530.securemail.prognocis.com

Organizations & group practices 3

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 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": "1484697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1457897282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 HENDERSON DR STE C",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465290",
            "telephone_number": "910-914-8450",
            "fax_number": "888-745-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 HENDERSON DR STE C",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465290",
            "telephone_number": "910-915-8450",
            "fax_number": "888-745-7026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3920 Bridge Rd # A",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "23435",
            "country_code": "US",
            "telephone_number": "757-983-0330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROWNEY",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-18",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110005610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "WEINHOLD",
            "middle_name": "MARIA",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.