Vantreia M Gross, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-07471 Issued in NC

Practice address

110 Patrick CT
Rocky Mount, NC 27804

Phone

(252) 443-0400

Fax

(252) 443-0572

NPI assigned

Jun 15, 2009

Last updated

Jul 5, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolina Regional Orthopaedics PAGroup PAC ID 2062480239, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vantreia.gross.1@6545.direct.athenahealth.com

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.

• Carolina Regional Orthopaedics, PA

  dba Carolina Regional Orthopaedics

  • Orthopaedic Surgery Physician
  • Tarboro, NC
  • NPI 1073553509
  Medicare reassignment Care Compare group
• Carolina Regional Orthopaedics, PA

  • Orthopaedic Surgery Physician
  • Rocky Mount, NC
  • NPI 1629018163
  NPD

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1821225194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PATRICK CT",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278041743",
            "telephone_number": "252-443-0400",
            "fax_number": "252-443-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PATRICK CT",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "27804",
            "telephone_number": "252-443-0400",
            "fax_number": "252-443-0572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2906 N Main St",
            "address_purpose": "LOCATION",
            "city": "Tarboro",
            "state": "NC",
            "postal_code": "278861921",
            "country_code": "US",
            "telephone_number": "252-823-7212",
            "fax_number": "252-823-5668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSS",
        "first_name": "VANTREIA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-15",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0003966",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NN1677A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin Gray
• Lisa Renee Green, DNP, PMHNP
• Barbara Barfield Griffith, LCSW-A
• Terry Lee Griffiths, CCRNA
• Alicia Nicole Grinstead
• Rosario Guarino, MD
• Guiding Star Health Care Adult Group Home
• Guiding Star Health Care Two, Inc.
• Erica Gums
• Karn Gupta, MD

• Physician Assistant in Rocky Mount, NC
• Providers in Rocky Mount, 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 Jul 5, 2018; 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.