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

Atif Nasrullah

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710656558

Atif Nasrullah is an Internal Medicine in Edenton, North Carolina. Qualified in 2010, 16 years ago. Practices with Vidant Medical Group LLC, a 974-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina and Pennsylvania.

Years since qualifying
16
Licensed in
NC, PA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

104 Mark Dr
Edenton, NC 27932-1756
Phone: (252) 482-5171
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 501 S Washington Ave, The Wright Center, Scranton, PA 18505 — (570) 507-3027

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2025-00687 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence MT224569 (PA)

Record details

NPI number1710656558
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 7, 2021
Last updated in NPPESAugust 28, 2025
Certification dateAugust 28, 2025
Mailing address104 Mark Dr, Edenton, NC 27932-1756

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Vidant Medical Group Llc — 974 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Edenton