Individual provider Active NPI

Efua Mairo Erbynn, M.D

  • Obstetrics & Gynecology Physician
  • Thomasville, NC
National Provider Identifier
1962646620
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2013-01192 Issued in NC
Practice address
1302 Lexington Ave
Thomasville, NC 27360-3419
Phone
(336) 475-6139
Fax
(336) 475-3331
NPI assigned
Apr 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X A116952 CA
Obstetrics & Gynecology Physician 207V00000X 2013-01192 NC Primary

Addresses

Primary practice location

1302 Lexington Ave
Thomasville, NC 27360-3419

Mailing address

1302 Lexington Ave
Thomasville, NC 27360-3419
Phone (336) 475-6139

Other names 1

  • Mrs. Efua Mairo Erbynn Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20160701001830 VA Practitioner - Obstetrics/Gynecology 1052553641 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of North Carolina at Chapel Hill School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DHP of Virginia PCGroup PAC ID 8820247752, 13 clinicians

Practice addresses (Care Compare)

44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-8100

44055 Riverside Pkwy
Suite 234
Leesburg, VA 20176-5177
Phone (703) 858-8100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A116952CAMDObstetrics & Gynecology Physician
2013-01192NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Mar 26, 2022 Accepting new patients
Privia Medical Group, LLC Obstetrics & Gynecology CurrentSince Mar 26, 2022 Accepting new patients
Obhg Virginia, LLC Obstetrics & Gynecology CurrentSince Aug 29, 2023 Accepting new patients
DHP of Virginia PC Obstetrics & Gynecology CurrentSince Jul 5, 2016 Accepting new patients

Locations

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

44055 Riverside Pkwy
Ste 234
Leesburg, VA 20176
Phone (703) 858-3020

8644 Sudley Rd
#220
Manassas, VA 20110

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

2010 Health Campus Dr
Rockingham, VA 22801
Phone (540) 689-1000

100 Sentara Cir
Williamsburg, VA 23188
Phone (678) 690-7826

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1240704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1962646620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 LEXINGTON AVE",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273603419",
            "telephone_number": "336-475-6139",
            "fax_number": "336-475-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 LEXINGTON AVE",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273603419",
            "telephone_number": "336-475-6139",
            "fax_number": "336-475-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERBYNN",
        "first_name": "EFUA",
        "middle_name": "MAIRO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-26",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A116952",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2013-01192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EFUA",
            "last_name": "ERBYNN",
            "middle_name": "MAIRO",
            "prefix": "MRS.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Thomasville, NC

Sources for this page

Verify at the official NPI Registry.