Organization Active NPI

Guilford Neurologic Associates, Inc.

  • Specialist
  • Greensboro, NC
National Provider Identifier
1205892890
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
041013491 Issued in NC
Legal business name
GUILFORD NEUROLOGIC ASSOCIATES, INC.
Practice address
912 Third Street
Suite 101
Greensboro, NC 27405-6967
Phone
(336) 273-2511
Fax
(336) 370-0287
NPI assigned
Apr 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Authorized official

Name
Mrs. Nancy E. Skelton, MBA, MHA, CMPE
Title
Administrator
Phone
(336) 272-2511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 041013491 NC Primary

Addresses

Primary practice location

912 Third Street
Suite 101
Greensboro, NC 27405-6967

Mailing address

PO Box 29568
Greensboro, NC 27429-9568
Phone (336) 273-2511

Other identifiers 2

IdentifierTypeStateIssuer
1205892890OtherNCPALMETTO GBA RR MEDICARE
8901685MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1205892890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29568",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274299568",
            "telephone_number": "336-273-2511",
            "fax_number": "336-370-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 THIRD STREET",
            "address_2": "SUITE 101",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056967",
            "telephone_number": "336-273-2511",
            "fax_number": "336-370-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILFORD NEUROLOGIC ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-24",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "SKELTON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-272-2511",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA, MHA, CMPE"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "041013491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RR MEDICARE",
            "identifier": "1205892890",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901685",
            "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 Nov 1, 2010; 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.