Austin Michael Anzivino, DO
Individual provider Active NPI Obstetrics & Gynecology Physician · Bolivia, NC
NPI 1972185775 · NPPES record last updated Oct 21, 2025
Key facts
- NPI
- 1972185775
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 2025-02184 (NC)
- Practice address
- 584 Hospital Dr NE Unit B
Bolivia, NC 28422-0020 - Phone
- (910) 721-4050
- NPI assigned
- Apr 22, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 17
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Novant Health Medical Group, LLC
Practice addresses (Care Compare)
14330 Oakhill Park LN
Suite 200
Huntersville, NC 28078-3407
Phone (704) 316-4830
Hospital & facility affiliations
- Novant Health New Hanover Regional Medical Center
- Novant Health Brunswick Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
| Removal of the uterus | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251102000167 | NC | Practitioner - Obstetrics/Gynecology | 2668961202 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025-02184 | NC | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Novant Health Medical Group LLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
584 Hospital Dr NE
Unit B
Bolivia, NC 28422
Phone (910) 662-9480
14330 Oakhill Park Ln
Ste 200
Huntersville, NC 28078
Phone (704) 316-1265
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- aanzivino1727194@direct.novanthealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 2025-02184 | NC | Yes |
Addresses
Primary practice location
584 Hospital Dr NE Unit B
Bolivia, NC 28422-0020
Mailing address
5178 Rutgers Dr
Omro, WI 54963-8503
Other practice location 1
254 Easton Ave
New Brunswick, NJ 08901-1766
Phone (732) 565-5415
Other providers in Bolivia, NC
- Ability 4 Me LLC
- Anne Marie Adams
- James Bruce Adams
- Kevin Arthur Applegate
- Alexander Arbelo Ramos
- Anita Bakula
- Benchmark Physical Therapy of NC, LLC
- Matt Aaron Benenati
All providers in Bolivia, NC · Obstetrics & Gynecology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.