Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Demeritt Stark

Individual provider Physician Assistant · NPI 1790408102

Andrew Demeritt Stark is a Physician Assistant in Greenville, North Carolina. Qualified in 2022, 4 years ago. Practices with East Carolina University, a 498-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2022
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Practice location Address checks out

526 Moye Blvd
Greenville, NC 27834-2848
Phone: (252) 847-5755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 115 Heart Dr, Greenville, NC 27834-8982 — (252) 744-4400

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-12630 (NC)

Record details

NPI number1790408102
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 21, 2022
Last updated in NPPESDecember 19, 2024
Certification dateDecember 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice East Carolina University — 498 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Greenville