NPIMap

Organization Active NPI

Greensboro Spine and Scoliosis Center PLLC

  • Orthopaedic Surgery of the Spine Physician
  • Greensboro, NC
National Provider Identifier
1255466355
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
200200507 Issued in NC
Legal business name
GREENSBORO SPINE AND SCOLIOSIS CENTER PLLC
Practice address
2105 Braxton LN
Suite 101
Greensboro, NC 27408-2861
Phone
(336) 333-6306
Fax
(336) 333-6309
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Authorized official

Name
Dr. Max W Cohen, M.D.NPI 1467446039
Title
Owner
Phone
(336) 333-6306

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X 200200507 NC Primary

Addresses

Primary practice location

2105 Braxton LN
Suite 101
Greensboro, NC 27408-2861

Mailing address

2105 Braxton LN
Suite 101
Greensboro, NC 27408-2861
Phone (336) 333-6306

Other identifiers 7

IdentifierTypeStateIssuer
195939OtherNCMEDCOST
800313OtherNCPARTNERS
131GVOtherNCBCBS
89131GVOtherNCCAROLINA ACCESS
0900574OtherNCUNITED HEALTHCARE
5906042MedicaidNC
P00409296OtherRAILROAD MEDICARE

Other names 1

  • Spine and Scoliosis Specialists Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070627000359 NC Part B Supplier - Clinic/Group Practice 2769581032 Receives reassigned benefits from 18 practitioners
Practice locations: Greensboro, NC; High Point, NC

National Provider Directory

National Provider Directory

Locations

2105 Braxton Ln
Ste 101
Greensboro, NC 27408
Phone (336) 333-6306

Practitioners & affiliated clinicians

Practitioners 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1255466355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 BRAXTON LN",
            "address_2": "SUITE 101",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274082861",
            "telephone_number": "336-333-6306",
            "fax_number": "336-333-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 BRAXTON LN",
            "address_2": "SUITE 101",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274082861",
            "telephone_number": "336-333-6306",
            "fax_number": "336-333-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENSBORO SPINE AND SCOLIOSIS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-333-6306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NC",
            "license": "200200507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "195939",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "800313",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "131GV",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAROLINA ACCESS",
            "identifier": "89131GV",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0900574",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5906042",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00409296",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spine and Scoliosis Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spine and Scoliosis Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 12, 2020; 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.