Active NPI
John C Poag, PHD
- Clinical Psychologist
- Greensboro, NC
National Provider Identifier
1346281318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2038
- Practice address
- 200 E Bessemer Ave
Greensboro, NC 27401-1416 - Phone
- (336) 574-0074
- Fax
- (336) 379-7466
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2038 | NC | Primary |
Addresses
Primary practice location
200 E Bessemer Ave
Greensboro, NC 27401-1416
Mailing address
200 E Bessemer Ave
Greensboro, NC 27401-1416
Phone (336) 574-0074
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6128436 | Other | NC | UNITED HEALTHCARE |
| 03926 | Other | NC | BLUE CROSS BLUE SHIELD |
| 7466109 | Other | NC | AETNA |
| 6000008 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2038 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1346281318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E BESSEMER AVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011416",
"telephone_number": "336-574-0074",
"fax_number": "336-379-7466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E BESSEMER AVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011416",
"telephone_number": "336-574-0074",
"fax_number": "336-379-7466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POAG",
"first_name": "JOHN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "2038",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "6128436",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "03926",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7466109",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6000008",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.