Active NPI
All Stars Group LLC
- Community/Behavioral Health Agency
- Greensboro, NC
National Provider Identifier
1285772319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ALL STARS GROUP LLC
- Practice address
- 2007 Yanceyville St
Ste. 209 Box 66
Greensboro, NC 27405-5000 - Phone
- (336) 691-1772
- NPI assigned
- Feb 1, 2007
- Last updated
- Aug 22, 2020
- 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
- Mary J McDuffie
- Title
- President Ceo
- Phone
- (336) 691-1772
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NC | Primary |
Addresses
Primary practice location
2007 Yanceyville St
Ste. 209 Box 66
Greensboro, NC 27405-5000
Mailing address
2007 Yanceyville St.
Ste. 209 Box 66
Greensboro, NC 27405
Phone (336) 691-1772
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8300889H | Medicaid | NC | |
| 8300889F | Medicaid | NC | |
| 8300889G | Medicaid | NC | |
| 8300889 | Medicaid | NC | |
| 8300889A | Medicaid | NC | |
| 8300889B | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
2007 Yanceyville St
Ste 209
Greensboro, NC 27405
Phone (336) 691-1772
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Adult Psychiatric/Mental Health Registered Nurse
- Greensboro, NC
- NPI 1871721084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1285772319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2007 YANCEYVILLE ST.",
"address_2": "STE. 209 BOX 66",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "27405",
"telephone_number": "336-691-1772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2007 YANCEYVILLE ST",
"address_2": "STE. 209 BOX 66",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274055000",
"telephone_number": "336-691-1772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALL STARS GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MCDUFFIE",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT CEO",
"authorized_official_telephone_number": "336-691-1772"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300889H",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300889F",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300889G",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300889",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300889A",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300889B",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.