Marc Anthony McAninley, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

102367 Issued in NC

Practice address

615 S Hughes Blvd
Elizabeth City, NC 27909-4785

Phone

(252) 338-3111

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

No

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 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

Specialty

Physician Assistant

Education

State University of New York Downstate Medical Center, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Velocity Urgent Care LLCGroup PAC ID 7618234980, 84 clinicians

Matrix Occupational Health PCGroup PAC ID 2365350220, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Matrix Occupational Health P.C.

  • Urgent Care Clinic/Center
  • Fayetteville, NC
  • NPI 1144279670
  Medicare reassignment Care Compare group NPD
• Velocity Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Williamsburg, VA
  • NPI 1205350584
  Medicare reassignment Care Compare group NPD
• Tidewater Emergency Medical Care

  • Physician Assistant
  • Chesapeake, VA
  • NPI 1295366201
  NPD (past)
• Velocity Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Suffolk, VA
  • NPI 1174005920
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1508946104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 S HUGHES BLVD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094785",
            "telephone_number": "252-338-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S HUGHES BLVD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094785",
            "telephone_number": "252-338-3111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Centerbrooke Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234348663",
            "country_code": "US",
            "telephone_number": "757-702-8105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCANINLEY",
        "first_name": "MARC",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102367",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110001125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Belinda Massey, D.O.
• Kathryn Grim Mathis, LCAS, CSI
• Chelsea Mattingly
• Cynthia Kay Maust, OTR/L
• Scott Michael Mawhiney, DC
• Theresa McCauley, OT
• Patricia Anne McCombs, RD, LDN
• Regina McCoy, NP-C
• Traniqua McCullen
• Michael K McDavit, MD

• Physician Assistant in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.