Active NPI
Lake Jeanette Urgent Care
- Urgent Care Clinic/Center
- Greensboro, NC
National Provider Identifier
1225312945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- LAKE JEANETTE URGENT CARE
- Practice address
- 1309 Lees Chapel Rd
Greensboro, NC 27455-2601 - Phone
- (336) 286-5505
- Fax
- (336) 286-5593
- NPI assigned
- Sep 29, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Elizabeth Nevitta Comma-Watson, CPC
- Title
- Billing Manager
- Phone
- (336) 286-5505
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
1309 Lees Chapel Rd
Greensboro, NC 27455-2601
Mailing address
1309 Lees Chapel Rd
Greensboro, NC 27455-2601
Phone (336) 286-5505
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464134400000",
"number": "1225312945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1309 LEES CHAPEL RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274552601",
"telephone_number": "336-286-5505",
"fax_number": "336-286-5593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 LEES CHAPEL RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274552601",
"telephone_number": "336-286-5505",
"fax_number": "336-286-5593"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKE JEANETTE URGENT CARE",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-29",
"last_updated": "2016-05-25",
"status": "A",
"authorized_official_last_name": "COMMA-WATSON",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "NEVITTA",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "336-286-5505",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CPC"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent 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 May 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.