Moses Cone Affiliated Physicians, Inc

Organization Active NPI Obstetrics & Gynecology Physician · Greensboro, NC

NPI 1346474103 · NPPES record last updated Jan 9, 2020

Key facts

NPI
1346474103
Entity type
Organization (NPI type 2)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
Legal business name
MOSES CONE AFFILIATED PHYSICIANS, INC
Practice address
719 Green Valley Rd Ste 305
Greensboro, NC 27408-7026
Phone
(336) 275-5391
Fax
(336) 275-4702
NPI assigned
May 8, 2009
Organization subpart
Yes
Parent organization (as reported)
THE MOSES H. CONE MEMORIAL HOSPITAL

Authorized official

Name
Sally Patricia Hammond
Title
Executive Director, CHMG Operations
Phone
(336) 663-5007

Other NPIs on the same Medicare enrollment 35

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 35

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 86

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

View all 86

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20090713000512 NC Part B Supplier - Clinic/Group Practice 3779635396 Receives reassigned benefits from 86 practitioners
35 other NPIs on this enrollment
Practice locations: Greensboro, NC; Reidsville, NC; Oak Ridge, NC; Kernersville, NC; High Point, NC; Burlington, NC; Asheboro, NC

National Provider Directory

Part of
Moses Cone Mem Hosp

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207V00000X Yes

Addresses

Primary practice location

719 Green Valley Rd Ste 305
Greensboro, NC 27408-7026

Mailing address

719 Green Valley Rd Ste 305
Greensboro, NC 27408-7026
Phone (336) 275-5391

Other names

  • Greensboro Gynecology Associates Doing business as

Other providers in Greensboro, NC

All providers in Greensboro, NC · Obstetrics & Gynecology Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.