Guilford Medical Associates PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

39624 Issued in NC

Legal business name

GUILFORD MEDICAL ASSOCIATES PA

Practice address

2703 Henry St
Greensboro, NC 27405-3669

Phone

(336) 621-8911

Fax

(336) 621-6322

NPI assigned

Jul 15, 2006

Last updated

Jul 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Simon

Title

Practice Administrator

Phone

(336) 621-8911

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Adler Aronson, MD

  • Internal Medicine Physician
  • Winston Salem, NC
  • NPI 1861411431
  Medicare reassignment Care Compare group NPD
• Ravisankar R Avva, MD

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1861427494
  Medicare reassignment Care Compare group NPD
• Scott Holwerda, M.D.

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1285954024
  Medicare reassignment Care Compare group NPD
• Daniel G Paterson, MD

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1497774178
  Medicare reassignment Care Compare group NPD
• Mark A Perini, MD

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1538185574
  Medicare reassignment Care Compare group NPD
• John M Russo, MD

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1215957303
  Medicare reassignment Care Compare group NPD
• William Douglas Shaw, Jr., MD

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1568482651
  Medicare reassignment Care Compare group NPD
• Austin Cole Skakle, D.O.

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1770938235
  Medicare reassignment Care Compare group NPD
• Stephen Alan South, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Greensboro, NC
  • NPI 1043237472
  Medicare reassignment Care Compare group NPD
• Richard Warren Tisovec, MD

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1306863741
  Medicare reassignment Care Compare group NPD
• Laura H Wile, M.D.

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1073580338

  NC

  Medicare reassignment Care Compare group NPD
• Jamie Pawlina White Bastable, RN

  • Primary Care Nurse Practitioner
  • Greensboro, NC
  • NPI 1528823929
  Medicare reassignment NPD

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1093731671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14944",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274154944",
            "telephone_number": "336-621-8911",
            "fax_number": "336-621-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 HENRY ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053669",
            "telephone_number": "336-621-8911",
            "fax_number": "336-621-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILFORD MEDICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "336-621-8911"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "39624",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NC",
            "license": "39624",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901690",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guilford Emergency Physicians PA
• Guilford Eye Center OD PA
• Guilford Gynecology & Obstetrics
• Guilford Health Care Center, Inc. (Guilford Health Care Center)
• Guilford Internal Medicine Associates, PA
• Guilford Medical Center, PA
• Guilford Medical Supply, Inc.
• Guilford Neurologic Associates, Inc.
• Guilford Operator LLC (Guilford Health Care Center)
• Guilford Orthotic & Prosthetic, Inc.

• Internal Medicine Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.