Moses Cone Physician Services, Inc.
Organization Active NPI Family Medicine Physician · Summerfield, NC
NPI 1124574827 · NPPES record last updated Sep 1, 2016
Key facts
- NPI
- 1124574827
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- MOSES CONE PHYSICIAN SERVICES, INC.
- Practice address
- 4446 US Highway 220 North
Suite a
Summerfield, NC 27358 - Phone
- (336) 832-3384
- NPI assigned
- Sep 1, 2016
- Organization subpart
- Yes
- Parent organization (as reported)
- THE MOSES H. CONE MEMORIAL HOSPITAL
Authorized official
- Name
- Robert L Goldstein
- Title
- Executive Vice President
- Phone
- (336) 663-5011
Other NPIs on the same Medicare enrollment 25
Practitioners 4
-
Todd F Early, MD
-
Emily Elizabeth Boyce, MSN, NP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090501000202 | NC | Part B Supplier - Clinic/Group Practice | 4284782210 |
Receives reassigned benefits from 758 practitioners 25 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Mebane, NC; Greensboro, NC; High Point, NC; Kernersville, NC; Madison, NC; Reidsville, NC; Burlington, NC; Eden, NC |
National Provider Directory
- Part of
- Moses Cone Mem Hosp
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
4446 US Highway 220 North
Suite a
Summerfield, NC 27358
Mailing address
1200 North Elm Street
Greensboro, NC 27401-1020
Other names
- Cone Health Medical Group LeBauer Summerfield Village
Other providers in Summerfield, NC
- William Keith McClain
- Margaret Kelly McGuire
- La'Quasha McNair
- Jabelle Quebrado Millares
- Hayden Byrd Morrison
- Kurt Ryan Motyka
- Move Forward Physical Therapy
- Naughton Counseling, PLLC
- New Heights Pediatric Therapy
- North Carolina CVS Pharmacy LLC
All providers in Summerfield, NC · Family 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 Sep 1, 2016. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.