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

Anthony Provenzano

Individual provider Nephrology Physician · NPI 1710371091

Anthony Provenzano is a Nephrology in Greenville, North Carolina. Graduated from Wayne State University School of Medicine in 2015, 11 years ago. Practices with Eastern Nephrology Associates PLLC, a 75-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
11
Trained at
Wayne State University School of Medicine
Licensed in
NC
In the registry since
2015
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Practice location Address checks out

511 Paladin Dr
Greenville, NC 27834-7826
Phone: (252) 752-8880
Fax: (252) 317-2092
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 2019-01052 (NC)

Record details

NPI number1710371091
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 24, 2015
Last updated in NPPESSeptember 3, 2020
Certification dateSeptember 3, 2020

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Eastern Nephrology Associates Pllc — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

Other providers in Greenville