Center for Integrated Medicine, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CENTER FOR INTEGRATED MEDICINE, PLLC

Practice address

3822 N Elm St Ste 102
Greensboro, NC 27455-2596

Phone

(336) 541-8120

Fax

(336) 541-8130

NPI assigned

Nov 10, 2021

Last updated

May 16, 2024By 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

Olugbemiga Jegede, MDNPI 1003006503

Title

NP Supervisor

Phone

(810) 908-9996

Specialties & licenses 1

Addresses

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

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25837/brand/1/csg/1/fhir/r4

Practitioners 4

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.

• Susanah Adebola Adegbenjo, DNP

  • Family Nurse Practitioner
  • Greensboro, NC
  • NPI 1023880531
  Medicare reassignment NPD
• Tene Laverne Turner, WHCNP, FNP , AGACNP

  • Family Nurse Practitioner
  • Greensboro, NC
  • NPI 1972821510
  Medicare reassignment NPD
• Olugbemiga Ebenezer Jegede, M.D

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1003006503
  NPD Authorized official
• Mojeed Akintayo, M.D.

  • Psychiatry Physician
  • Jacksonville, NC
  • NPI 1093936676
  NPD

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1194481416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3822 N ELM ST STE 102",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552596",
            "telephone_number": "336-541-8120",
            "fax_number": "336-541-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3822 N ELM ST STE 102",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552596",
            "telephone_number": "336-541-8120",
            "fax_number": "336-541-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR INTEGRATED MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "JEGEDE",
        "authorized_official_first_name": "OLUGBEMIGA",
        "authorized_official_title_or_position": "NP SUPERVISOR",
        "authorized_official_telephone_number": "810-908-9996",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.