NPIMap

Organization Active NPI

Authoracare Collective

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Greensboro, NC
National Provider Identifier
1194459461
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
AUTHORACARE COLLECTIVE
Practice address
2500 Summit Ave
Greensboro, NC 27405-4522
Phone
(336) 216-2500
NPI assigned
Jul 13, 2022
Organization subpart
Yes
Parent organization
AUTHORACARE COLLECTIVEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Authorized official

Name
Leigh Spencer Williams, CPA, CPIM
Title
Cfo
Phone
(336) 532-0125

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QH0002X Primary

Addresses

Primary practice location

2500 Summit Ave
Greensboro, NC 27405-4522

Mailing address

2500 Summit Ave
Greensboro, NC 27405-4522
Phone (336) 621-2500

Other identifiers 2

IdentifierTypeStateIssuer
2630370OtherNCUHC-PALLIATIVE CARE ASSOCIATION
56162OtherNCGP MEDCOST-PALLIATIVE CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040621001772 NC Part B Supplier - Clinic/Group Practice 3678558962 Receives reassigned benefits from 26 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Greensboro, NC

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Authoracare Collective2 organizations share this tax ID, including this one
Part of
Authoracare Collective

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2504 Summit Ave
Greensboro, NC 27405
Phone (336) 621-2500

2500 Summit Ave
Greensboro, NC 27405
Phone (336) 621-2500

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1194459461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 SUMMIT AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274054522",
            "telephone_number": "336-621-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 SUMMIT AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274054522",
            "telephone_number": "336-216-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHORACARE COLLECTIVE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AUTHORACARE COLLECTIVE",
        "enumeration_date": "2022-07-13",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_middle_name": "SPENCER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "336-532-0125",
        "authorized_official_credential": "CPA, CPIM"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC-PALLIATIVE CARE ASSOCIATION",
            "identifier": "2630370",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GP MEDCOST-PALLIATIVE CARE",
            "identifier": "56162",
            "state": "NC"
        }
    ],
    "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 Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.