Mary John Baxley, MD
Individual provider Active NPI Internal Medicine Physician · Greensboro, NC
NPI 1063474971 · NPPES record last updated Aug 11, 2021
Key facts
- NPI
- 1063474971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 27357 (NC)
- Practice address
- 403 Parkway Drive
Suite B
Greensboro, NC 27401 - Phone
- (336) 272-2119
- Fax
- (336) 272-6758
- NPI assigned
- Apr 5, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of North Carolina at Chapel Hill School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Moses Cone Medical Services Inc
Practice addresses (Care Compare)
403 Pkwy St
Suite B
Greensboro, NC 27401-1653
Phone (336) 272-2119
940 Golf House CT E
Whitsett, NC 27377-9296
Phone (336) 449-9848
Hospital & facility affiliations
- Moses H. Cone Memorial Hospital, the
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040625000555 | NC | Practitioner - Internal Medicine | 8022094515 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27357 | NC | MD | Geriatric Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moses Cone Medical Services, Inc. | Internal Medicine | Current |
Accepting new patients |
| Moses Cone Medical Services, Inc. | Current |
Accepting new patients |
Locations
300 E Wendover Ave
Fl 4
Greensboro, NC 27401
Phone (336) 663-5038
1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700
403 Parkway St
Ste B
Greensboro, NC 27401
Phone (336) 272-2119
940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848
Interoperability endpoints
- mbaxley18345@direct.conehealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 27357 | NC | Yes |
Addresses
Primary practice location
403 Parkway Drive
Suite B
Greensboro, NC 27401
Mailing address
403 Parkway Drive
Suite B
Greensboro, NC 27401
Phone (336) 272-2119
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8913964 | Medicaid | NC |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mbaxley18345@direct.conehealth.com | Direct |
Other providers in Greensboro, NC
- Terri Woodford Bauert
- David Gray Baugh
- Nikki Short Baulding
- Beverly Agan Baum
- Kimberly A. Baumann
- Bayada Home Health Care, Inc.
- Bayada Home Health Care, Inc.
- Bayada Home Health Care, Inc.
- Bayada Home Health Care, Inc.
- Bayada Home Health Care, Inc.
All providers in Greensboro, NC · Internal Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.