Organization Active NPI

Marigold VMWL North Carolina, P.C.

  • General Practice Physician
  • Morgantown, WV
National Provider Identifier
1487339537
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MARIGOLD VMWL NORTH CAROLINA, P.C.
Practice address
423 Fortress Blvd
Morgantown, WV 26508-1351
Phone
(304) 225-2500
NPI assigned
Jun 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Samantha Aster
Title
Sr. Director, Compliance
Phone
(704) 534-0341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

423 Fortress Blvd
Morgantown, WV 26508-1351

Mailing address

1101 Red Ventures Dr
Fort Mill, SC 29707-5005
Phone (704) 534-0341

Other names 1

  • Virtual Medical Weight Loss Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Marigold VMWL North Carolina PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1101 Red Ventures Dr
Fort Mill, SC 29707
Phone (844) 344-7325

NPI Registry JSON

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1487339537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 RED VENTURES DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297075005",
            "telephone_number": "704-534-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 FORTRESS BLVD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081351",
            "telephone_number": "304-225-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIGOLD VMWL NORTH CAROLINA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "ASTER",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "SR. DIRECTOR, COMPLIANCE",
        "authorized_official_telephone_number": "704-534-0341"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virtual Medical Weight Loss",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.