Individual provider Active NPI

Mark R. Cervi, M.D.

  • Internal Medicine Physician
  • Greenville, NC
National Provider Identifier
1700846672
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34271 Issued in NC
Practice address
1900 Bloomsbury Rd
Greenville, NC 27858-9603
Phone
(252) 917-4226
Fax
(252) 689-4315
NPI assigned
Mar 24, 2006
Last updated
Mar 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34271 NC Primary

Addresses

Primary practice location

1900 Bloomsbury Rd
Greenville, NC 27858-9603

Mailing address

1900 Bloomsbury Rd
Greenville, NC 27858-9603
Phone (252) 917-4226

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
I20110511000802 NC Practitioner - Internal Medicine 0749466530

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince May 7, 2012 Accepting new patients
Vidant Medical Group LLC CurrentSince May 7, 2012 Accepting new patients

Locations

2460 Emerald Pl
Greenville, NC 27834
Phone (252) 695-6000

2460 Emerald Pl
Ste A
Greenville, NC 27834
Phone (252) 830-2021

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

Organizations & group practices 2

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": "1678924800000",
    "number": "1700846672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 BLOOMSBURY RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278589603",
            "telephone_number": "252-917-4226",
            "fax_number": "252-689-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 BLOOMSBURY RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278589603",
            "telephone_number": "252-917-4226",
            "fax_number": "252-689-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVI",
        "first_name": "MARK",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "34271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.