OrganizationActive
Vidant Medical Group LLC
NPI 1659742690 · Non-Pharmacy Dispensing Site · Ahoskie, NC
Vidant Medical Group LLC is a Non-Pharmacy Dispensing Site organization in Ahoskie, NC (NPI 1659742690).
Provider details
- NPI number
- 1659742690
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Vp of Operations(858) 964-1506
- License
- 2010-01183 (NC)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
226 Academy St S
Ahoskie, NC 27910-2451
Phone: (252) 209-3911
Street-level locationGet directions
Mailing address
9276 Scranton Rd
San Diego, CA 92121-7701
Other names (DBA / former)
- Doing business as
- Vidant Immediate Care Ahoskie
Registry dates
- Enumerated
- 2015-10-16
- Last updated
- 2015-10-16
Frequently asked questions
- What is Vidant Medical Group LLC's NPI number?
- Vidant Medical Group LLC's National Provider Identifier (NPI) is 1659742690, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vidant Medical Group LLC?
- Vidant Medical Group LLC is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Vidant Medical Group LLC located?
- Vidant Medical Group LLC's practice location on file with NPPES is 226 Academy St S, Ahoskie, NC 27910-2451.
- What is Vidant Medical Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Vidant Medical Group LLC is (252) 209-3911.
- Who is the authorized official for Vidant Medical Group LLC?
- The authorized official listed on Vidant Medical Group LLC's NPPES record is Kenny Heine, Vp of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vidant Medical Group LLC's NPI active?
- Yes — Vidant Medical Group LLC's NPI (1659742690) is active in the NPPES registry as of the last update on 2015-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.