Individual provider Active NPI

George R Kilpatrick Jr., M.D.

  • Internal Medicine Physician
  • Greensboro, NC
National Provider Identifier
1255426177
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
NC18881 Issued in NC
Practice address
601 E Market St
Greensboro, NC 27401-6054
Phone
(336) 275-7658
Fax
(336) 275-8375
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NC18881 NC Primary

Addresses

Primary practice location

601 E Market St
Greensboro, NC 27401-6054

Mailing address

601 E Market St
Greensboro, NC 27401-6054
Phone (336) 275-7658

Other identifiers 4

IdentifierTypeStateIssuer
8948945MedicaidNC
04-01716OtherNCUNITED HEALTHCARE
48945OtherNCBCBS/STATE
700OtherNCPARTNERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100419000635 NC Practitioner - Internal MedicinePractitioner - Pulmonary Disease 5092842328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 1968
Medicare assignment
May accept Medicare assignment
Group practices
George R Kilpatrick Jr MD PAGroup PAC ID 3779610001, 2 clinicians

Practice addresses (Care Compare)

601 E Market St
Greensboro, NC 27401-6054
Phone (336) 275-7658

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
NC18881NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
George R Kilpatrick Jr MD PA Internal Medicine CurrentSince Jan 1, 1990 Accepting new patients

Locations

601 E Market St
Ste A
Greensboro, NC 27401

601 E Market St
Greensboro, NC 27401
Phone (336) 275-7658

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255426177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E MARKET ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274016054",
            "telephone_number": "336-275-7658",
            "fax_number": "336-275-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E MARKET ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274016054",
            "telephone_number": "336-275-7658",
            "fax_number": "336-275-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILPATRICK",
        "first_name": "GEORGE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "NC18881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8948945",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "04-01716",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/STATE",
            "identifier": "48945",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "700",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.