NPIMap

Organization Active NPI

The Moses H. Cone Memorial Hospital Operating Corporation

  • Internal Medicine Physician
  • Greensboro, NC
National Provider Identifier
1013265909
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION
Practice address
509-E North Elam Avenue
3Rd Floor
Greensboro, NC 27403-1129
Phone
(336) 832-1970
Fax
(336) 832-1988
NPI assigned
Aug 27, 2012
Organization subpart
Yes
Parent organization
THE MOSES H. CONE MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Lawrence Kitzmiller
Title
Assistant Treasurer
Phone
(336) 832-7579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

509-E North Elam Avenue
3Rd Floor
Greensboro, NC 27403-1129

Mailing address

PO Box 405633
Atlanta, GA 30384-5633
Phone (888) 333-1348

Other identifiers 1

IdentifierTypeStateIssuer
5921312MedicaidNC

Other names 1

  • Cone Health Sickle Cell Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121003000518 NC Part B Supplier - Clinic/Group Practice 6204744600 Receives reassigned benefits from 885 practitioners
3 other NPIs on this enrollment
Practice locations: Greensboro, NC; Mebane, NC; High Point, NC; Kernersville, NC; Madison, NC; Reidsville, NC; Winston Salem, NC; Eden, NC…

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2086712Cone Health Sickle Cell Center509 N Elam Avenue Suite 3-E, Greensboro, NC 27403Provider-performed microscopyNov 9, 2026

National Provider Directory

National Provider Directory
Part of
Moses Cone Mem Hosp

Locations

1409 Yanceyville St
Ste C
Greensboro, NC 27405
Phone (336) 698-3157

509 N Elam Ave
#3E
Greensboro, NC 27403
Phone (336) 832-1970

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Alamance Regional Medical Center IncBurlington, NC, CCN 34S070 Hospital 5% Or Greater Direct Ownership Interest (100%) May 1, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 897

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 897

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1013265909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405633",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303845633",
            "telephone_number": "888-333-1348",
            "fax_number": "708-342-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509-E NORTH ELAM AVENUE",
            "address_2": "3RD FLOOR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031129",
            "telephone_number": "336-832-1970",
            "fax_number": "336-832-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MOSES H. CONE MEMORIAL HOSPITAL",
        "enumeration_date": "2012-08-27",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "KITZMILLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "ASSISTANT TREASURER",
        "authorized_official_telephone_number": "336-832-7579"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5921312",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cone Health Sickle Cell Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.