Andrew Stark
NPI 1790408102 · Physician Assistant · Greenville, NC
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Andrew Stark is a Physician Assistant provider in Greenville, NC (NPI 1790408102).
Provider details
- NPI number
- 1790408102
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 0010-12630 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
3 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
2 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$12 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 115 Heart DrGreenville, NC 27834-8982Phone: (252) 744-4400Fax: (252) 744-7623
Registry dates
- Enumerated
- 2022-09-21
- Last updated
- 2024-12-19
- Certified
- 2024-12-19
Frequently asked questions
- What is Andrew Stark's NPI number?
- Andrew Stark's National Provider Identifier (NPI) is 1790408102, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andrew Stark's specialty?
- Andrew Stark is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Andrew Stark located?
- Andrew Stark's practice location on file with NPPES is 526 Moye Blvd, Greenville, NC 27834-2848.
- What is Andrew Stark's phone number?
- The practice phone number listed in the NPPES registry for Andrew Stark is (252) 847-5755.
- Does Andrew Stark accept Medicare?
- Andrew Stark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Andrew Stark's NPI active?
- Yes — Andrew Stark's NPI (1790408102) is active in the NPPES registry as of the last update on 2024-12-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.