Individual provider Active NPI

Michael Younshik Ghim, MD

  • Emergency Medicine Physician
  • Greensboro, NC
National Provider Identifier
1083649289
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
05-01941 Issued in NC
Practice address
2005 Pisgah Church Rd
Suite a
Greensboro, NC 27455-3309
Phone
(336) 701-2662
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 05-01941 NC Primary

Addresses

Primary practice location

2005 Pisgah Church Rd
Suite a
Greensboro, NC 27455-3309

Mailing address

6773 Cobble Creek Rd
Apt 1B
Whitsett, NC 27377-8721
Phone (336) 501-5556

Other identifiers 4

IdentifierTypeStateIssuer
809231OtherNCPARTNERS
143RNOtherNCNC BCBS
39-08922OtherNCUHC
5904738MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070201000302 NC Practitioner - Emergency Medicine 1951320159 Reassigns benefits to 7 organizations
I20171128002937 VA Practitioner - Emergency Medicine 1951320159 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Medical College of Georgia School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Forest University Health SciencesGroup PAC ID 4486564952, 2,633 clinicians
Wake Forest Emergency ProvidersGroup PAC ID 7012819816, 497 clinicians

Practice addresses (Care Compare)

1319 New Garden Rd
Greensboro, NC 27410-2722
Phone (336) 716-9622

1370 W D St
North Wilkesboro, NC 28659-3506
Phone (336) 651-8760

1917 W Park Drivce
N Wilkesboro, NC 28659-3506
Phone (336) 667-3762

2005 Pisgah Church Rd
Greensboro, NC 27455-3309
Phone (336) 701-2662

3120 Northline Ave
Greensboro, NC 27408-7814

557 Brookdale Dr
Statesville, NC 28677-4107
Phone (336) 716-2255

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

Hospital & facility affiliations

  • Stanly Regional Medical Center Hospital, Albemarle, NC, CCN 340119
  • Iredell Memorial Hospital Inc Hospital, Statesville, NC, CCN 340039
  • Wilkes Regional Medical Center Hospital, North Wilkesboro, NC, CCN 340064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
05-01941NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Oct 1, 2017 Accepting new patients
Hoke Emergency Group, PC Emergency Medicine CurrentSince Aug 8, 2017 Accepting new patients
Duke University Health System, Inc. CurrentSince May 18, 2015 Accepting new patients
Duke University Health System, Inc. CurrentSince May 18, 2015 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Oct 1, 2016 Accepting new patients
Wake Forest Emergency Providers CurrentSince Sep 1, 2019 Accepting new patients
United Emergency Services, Inc. Emergency Medicine CurrentSince Dec 7, 2018 Accepting new patients
Asheboro Emergency Physicians PA Emergency Medicine CurrentSince Nov 21, 2016 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Oct 1, 2017 Accepting new patients
NC Emergency Physician Services, PLLC Emergency Medicine CurrentSince Sep 21, 2016 Accepting new patients
Wake Forest Emergency Providers PastSince Sep 29, 2019 Accepting new patients

Locations

20010 Century Blvd
Ste 200
Germantown, MD 20874

364 White Oak St
Asheboro, NC 27203
Phone (336) 625-5151

336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

117 E Kings Hwy
Eden, NC 27288
Phone (336) 627-6181

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

2400 W Friendly Ave
Greensboro, NC 27403
Phone (336) 832-1100

210 Medical Pavilion Dr
Raeford, NC 28376
Phone (910) 904-8000

618 S Main St
Reidsville, NC 27320
Phone (336) 832-7965

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000

557 Brookdale Dr
Statesville, NC 28677
Phone (330) 445-4361

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

1535 Slate Creek Rd
Grundy, VA 24614
Phone (276) 935-1125

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

Interoperability endpoints

  • Direct secure messaging: mghim995440@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: mghim127171@direct.unc.nchie.net

Organizations & group practices 12

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1083649289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6773 COBBLE CREEK RD",
            "address_2": "APT 1B",
            "city": "WHITSETT",
            "state": "NC",
            "postal_code": "273778721",
            "telephone_number": "336-501-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 PISGAH CHURCH RD",
            "address_2": "SUITE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274553309",
            "telephone_number": "336-701-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHIM",
        "first_name": "MICHAEL",
        "middle_name": "YOUNSHIK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "05-01941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "809231",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BCBS",
            "identifier": "143RN",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "39-08922",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5904738",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.