Individual provider Active NPI

Marvaretta Miesha Stevenson, MD

  • Hematology & Oncology Physician
  • Lumberton, NC
National Provider Identifier
1891825964
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
2010-00887 Issued in NC
Practice address
1200 Pine Run Dr
Lumberton, NC 28358-2180
Phone
(910) 671-5730
Fax
(910) 671-5773
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 122402 NC
Hematology & Oncology Physician 207RH0003X 2010-00887 NC Primary

Addresses

Primary practice location

1200 Pine Run Dr
Lumberton, NC 28358-2180

Mailing address

3100 Tower Blvd Ste 600
Box 3229
Durham, NC 27707-2563
Phone (919) 419-5509

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
I20100730000425 NC Practitioner - Internal Medicine 0042343840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical University of South Carolina College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

3400 Wake Forest Rd
Suite 310
Raleigh, NC 27609-7317
Phone (919) 620-4855

40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111

Hospital & facility affiliations

  • Duke University Hospital Hospital, Durham, NC, CCN 340030
  • Duke Regional Hospital Hospital, Durham, NC, CCN 340155

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
122402NCMDInternal Medicine Physician
2010-00887NCMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Southeastern Radiation Oncology Past Accepting new patients

Locations

2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111

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

20 Duke Medicine Cir
Durham, NC 27710
Phone (919) 668-6608

1200 Pine Run Dr
#1408
Lumberton, NC 28358

1200 Pine Run Dr
Lumberton, NC 28358
Phone (910) 671-5048

3404 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 862-5400

4101 Macon Pond Rd
Raleigh, NC 27607
Phone (919) 781-7070

514 N Brightleaf Blvd
Ste 1100
Smithfield, NC 27577
Phone (919) 939-2192

Interoperability endpoints

  • Direct secure messaging: mstevenson54595@direct.medicine.duke.edu

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 and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1891825964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 TOWER BLVD STE 600",
            "address_2": "BOX 3229",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072563",
            "telephone_number": "919-419-5509",
            "fax_number": "919-493-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PINE RUN DR",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582180",
            "telephone_number": "910-671-5730",
            "fax_number": "910-671-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "MARVARETTA",
        "middle_name": "MIESHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "122402",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "2010-00887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

Verify at the official NPI Registry.