Individual provider Active NPI

Nina Jamie Verdino, M.D.

  • Pediatric Critical Care Medicine Physician
  • Greenville, NC
National Provider Identifier
1619937760
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
2005-01516 Issued in NC
Practice address
600 Moye Blvd
Ecu Physicians Pediatric Critical Care Medicine
Greenville, NC 27834-4300
Phone
(252) 744-0766
Fax
(252) 744-4300
NPI assigned
Mar 24, 2006
Last updated
Jan 14, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine Physician 2080P0203X 2005-01516 NC Primary

Addresses

Primary practice location

600 Moye Blvd
Ecu Physicians Pediatric Critical Care Medicine
Greenville, NC 27834-4300

Mailing address

PO Box 751069
Charlotte, NC 28275-1069

Other identifiers 2

IdentifierTypeStateIssuer
1414MOtherNCBCBSNC
5908969MedicaidNC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051114000414 NC Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists) 6800815432 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2005-01516NCMDPediatric Critical Care Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina University Pediatrics CurrentSince Oct 7, 2017 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Jul 1, 2023 Accepting new patients
East Carolina University Current Accepting new patients

Locations

500 Gateway Dr
Clayton, NC 27520
Phone (919) 488-0015

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111

1005 Big Oak Ct
Knightdale, NC 27545
Phone (919) 266-5669

270 Horizon Dr
Raleigh, NC 27615
Phone (919) 845-0623

11130 Capital Blvd
Wake Forest, NC 27587
Phone (919) 488-4094

116 E Horton St
Zebulon, NC 27597
Phone (919) 269-2885

Interoperability endpoints

  • Direct secure messaging: nverdino400215@direct.medicine.duke.edu
  • Direct secure messaging: nverdino41358@direct.ecuhealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1619937760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751069",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MOYE BLVD",
            "address_2": "ECU PHYSICIANS PEDIATRIC CRITICAL CARE MEDICINE",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278344300",
            "telephone_number": "252-744-0766",
            "fax_number": "252-744-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDINO",
        "first_name": "NINA",
        "middle_name": "JAMIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NC",
            "license": "2005-01516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "1414M",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5908969",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.