Organization Active NPI

Mohammad Lawal Garba, MD, PA

  • Internal Medicine Physician
  • Greensboro, NC
National Provider Identifier
1316139397
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MOHAMMAD LAWAL GARBA, MD, PA
Practice address
409G Parkway Avenue
Greensboro, NC 27401
Phone
(336) 389-1150
Fax
(336) 379-9865
NPI assigned
Aug 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Authorized official

Name
Dr. Mohammad Lawal Garba, MDNPI 1235177809
Title
Medical Director
Phone
(336) 508-8189

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Health Service Clinic/Center 261QH0100X 2005-01304 NC
Primary Care Clinic/Center 261QP2300X 2005-01304 NC
Primary Care Clinic/Center 261QP2300X
Urgent Care Clinic/Center 261QU0200X 2005-01304 NC
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

409G Parkway Avenue
Greensboro, NC 27401

Mailing address

409G Parkway Avenue
Greensboro, NC 27401
Phone (336) 389-1150

Other identifiers 2

IdentifierTypeStateIssuer
5906595MedicaidNC
5902087MedicaidNC

Other names 1

  • Ladan Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081031000470 NC Part B Supplier - Clinic/Group Practice 3274626437 Receives reassigned benefits from 1 practitioner
Practice locations: Greensboro, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D1079307Ladan Medical Center409 Parkway Avenue, Suite G, Greensboro, NC 27401Provider-performed microscopyMay 10, 2027

National Provider Directory

National Provider Directory

Locations

409 Parkway St
Ste G
Greensboro, NC 27401
Phone (336) 389-1150

1304 Woodside Dr
Greensboro, NC 27405
Phone (336) 389-1150

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1316139397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409G PARKWAY AVENUE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27401",
            "telephone_number": "336-389-1150",
            "fax_number": "336-379-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409G PARKWAY AVENUE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27401",
            "telephone_number": "336-389-1150",
            "fax_number": "336-379-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD LAWAL GARBA, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "GARBA",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "LAWAL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "336-508-8189",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NC",
            "license": "2005-01304",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "2005-01304",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NC",
            "license": "2005-01304",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5906595",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902087",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ladan Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ladan Medical Center",
            "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 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.