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

Myron Roddenberry, PA

Individual provider Physician Assistant · NPI 1346245040

Myron Roddenberry, PA is a Physician Assistant in Greensboro, North Carolina. Graduated from Wake Forest University School of Medicine in 1989, 37 years ago. Practices with The Moses H Cone Memorial Hospital Operating Corporation, a 724-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
37
Trained at
Wake Forest University School of Medicine
Licensed in
NC
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

301 E Wendover Ave Ste 411
Greensboro, NC 27401-1211
Phone: (336) 832-3200
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (5)

  • 1001 Blythe Blvd, Charlotte, NC 28203-5866 — (704) 373-0212
  • 1350 S Kings Dr, Charlotte, NC 28207-2134 — (704) 446-1242
  • 1350 S Kings Dr, Charlotte, NC 28207-2134 — (704) 446-1255
  • 10650 Park Rd, Charlotte, NC 28210-8538 — (704) 667-3840
  • 200 Medical Park Dr, Concord, NC 28025-2982 — (704) 403-1349

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 101195 (NC)

Record details

NPI number1346245040
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 17, 2005
Last updated in NPPESAugust 25, 2021
Certification dateAugust 25, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 1989 (37 years in practice)
Group practice The Moses H Cone Memorial Hospital Operating Corporation — 724 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Greensboro