Individual provider Active NPI

G. Laurent Choiniere, NP, PHD, LPC

  • Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1013949759
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5005702 Issued in NC
Practice address
5701 W Friendly Ave
Greensboro, NC 27410-4112
Phone
(336) 852-1915
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 661 NC
Family Nurse Practitioner 363LF0000X 5005702 NC
Nurse Practitioner 363L00000X 5005702 NC Primary

Addresses

Primary practice location

5701 W Friendly Ave
Greensboro, NC 27410-4112

Mailing address

PO Box 601843
Charlotte, NC 28260-1843

Other practice location 1

3163 Gammon Ln
Clemmons, NC 27012-9052
Phone (336) 310-5571

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address gchoiniere34466@direct.novanthealth.org
Direct Messaging Address g.choiniere@eaglep.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120928000189 NC Practitioner - Nurse Practitioner 5698924082 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

10810 Mallard Creek Rd
Charlotte, NC 28262-9786
Phone (704) 510-8000

5701 W Friendly Aveneue
Greensboro, NC 27410-4112
Phone (336) 274-6515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
661NCMDBehavioral Analyst
5005702NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Physicians and Associates PA Nurse Practitioner CurrentSince Nov 18, 2024 Accepting new patients
Eagle Physicians and Associates PA Family Current Accepting new patients
Eagle Physicians and Associates PA CurrentSince Nov 18, 2024 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Forsyth Memorial Hospital, Inc CurrentSince Feb 27, 2023 Accepting new patients
Matrix Occupational Health P.C. CurrentSince Aug 13, 2015 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Feb 27, 2023 Accepting new patients
Forsyth Memorial Hospital, Inc Past Accepting new patients

Locations

1110 Kildaire Farm Rd
Cary, NC 27511
Phone (919) 481-0277

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

5701 W Friendly Ave
Greensboro, NC 27410
Phone (336) 660-5100

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

100 Robinhood Medical Plz
Winston Salem, NC 27106
Phone (336) 718-0560

175 Kimel Park Dr
Ste 100
Winston Salem, NC 27103
Phone (336) 277-1811

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

Networks

  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1013949759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601843",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 W FRIENDLY AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104112",
            "telephone_number": "336-852-1915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3163 Gammon Ln",
            "address_purpose": "LOCATION",
            "city": "Clemmons",
            "state": "NC",
            "postal_code": "270129052",
            "country_code": "US",
            "telephone_number": "336-310-5571",
            "fax_number": "336-310-5574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOINIERE",
        "first_name": "G.",
        "middle_name": "LAURENT",
        "credential": "NP, PHD, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "661",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5005702",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5005702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gchoiniere34466@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "3163 Gammon Ln",
            "city": "Clemmons",
            "state": "NC",
            "country_code": "US",
            "postal_code": "270129052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "g.choiniere@eaglep.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "5701 W Friendly Ave",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274104112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.