NPIMap

Organization Active NPI

Futuremed Evening Clinic PLLC

  • Primary Care Clinic/Center
  • Greensboro, NC
National Provider Identifier
1194233403
Registry record updated Nov 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
FUTUREMED EVENING CLINIC PLLC
Practice address
2003 Boulevard St Ste C
Greensboro, NC 27407-4579
Phone
(336) 579-8328
NPI assigned
Jan 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2020

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

Authorized official

Name
Tarshia Donnell
Title
Practice Manager
Phone
(336) 523-2305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2003 Boulevard St Ste C
Greensboro, NC 27407-4579

Mailing address

PO Box 788
Greensboro, NC 27402-0788

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1516492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606348800000",
    "number": "1194233403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 788",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274020788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 BOULEVARD ST STE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274074579",
            "telephone_number": "336-579-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUTUREMED EVENING CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-21",
        "last_updated": "2020-11-26",
        "certification_date": "2020-11-26",
        "status": "A",
        "authorized_official_last_name": "DONNELL",
        "authorized_official_first_name": "TARSHIA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "336-523-2305"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.