Individual provider Active NPI

Anna Faidas, MD

  • Medical Oncology Physician
  • Gastonia, NC
National Provider Identifier
1780779116
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
9601134 Issued in NC
Practice address
2525 Court Dr
Gastonia, NC 28054-2140
Phone
(252) 876-1763
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 9601134 NC Primary

Addresses

Primary practice location

2525 Court Dr
Gastonia, NC 28054-2140

Mailing address

2525 Court Dr
Gastonia, NC 28054-2140

Other practice location 1

805 Pamplico Hwy
Florence, SC 29505-6047
Phone (252) 876-1763

Other practice location 2

1100 S Tryon St
Suite 400
Charlotte, NC 28203-4239
Phone (704) 446-9046

Other names 1

  • Annoula Grammenidou Faidas Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121219000201 NC Practitioner - Hematology/OncologyPractitioner - Preventive MedicinePractitioner - Surgical Oncology 2466604541 Reassigns benefits to 4 organizations
I20201019000709 SC Practitioner - Medical OncologyPractitioner - Hematology/Oncology 2466604541 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Caromont Medical Group, Inc. CurrentSince Aug 13, 2018 Accepting new patients
Columbus Regional Healthcare System CurrentSince Feb 4, 2014 Accepting new patients
NHCS Physicians, Inc. CurrentSince Sep 13, 2021 Accepting new patients
Vidant Medical Group LLC CurrentSince Jan 27, 2020 Accepting new patients
Carolina Family Care, Inc CurrentSince Sep 10, 2020 Accepting new patients
Columbus Regional Healthcare System CurrentSince Feb 4, 2014 Accepting new patients
Caromont Medical Group Inc Current Accepting new patients
Caromont Medical Group Inc CurrentSince Aug 13, 2018 Accepting new patients
Vidant Medical Group LLC CurrentSince Jan 27, 2020 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Oct 11, 2014 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Medical Oncology CurrentSince Oct 11, 2014 Accepting new patients
Carolina Family Care, Inc CurrentSince Sep 10, 2020 Accepting new patients
NHCS Physicians Inc CurrentSince Sep 13, 2021 Accepting new patients
Newco Cancer Services, LLC Past Accepting new patients

Locations

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

2711 X Ray Dr
Ste 3701
Gastonia, NC 28054
Phone (980) 384-9600

2400 W Friendly Ave
Greensboro, NC 27403
Phone (336) 832-1100

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

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

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776

805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500

1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1780779116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 COURT DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 COURT DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542140",
            "telephone_number": "252-876-1763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 Pamplico Hwy",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295056047",
            "country_code": "US",
            "telephone_number": "252-876-1763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 S Tryon St",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282034239",
            "country_code": "US",
            "telephone_number": "704-446-9046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAIDAS",
        "first_name": "ANNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NC",
            "license": "9601134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNOULA",
            "last_name": "FAIDAS",
            "middle_name": "GRAMMENIDOU",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.