Organization Active NPI

Guilford Internal Medicine Associates, PA

  • Primary Care Clinic/Center
  • Greensboro, NC
National Provider Identifier
1376635086
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
53129 Issued in NC
Legal business name
GUILFORD INTERNAL MEDICINE ASSOCIATES, PA
Practice address
2710 Henry St
Suite 100-B
Greensboro, NC 27405-4961
Phone
(336) 954-1007
Fax
(336) 954-1183
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Eric L Dean, M.D.
Title
President
Phone
(336) 954-1007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 53129 NC Primary

Addresses

Primary practice location

2710 Henry St
Suite 100-B
Greensboro, NC 27405-4961

Mailing address

PO Box 13118
Greensboro, NC 27415-3118
Phone (336) 954-1007

Other identifiers 1

IdentifierTypeStateIssuer
890172WMedicaidNC

National Provider Directory

National Provider Directory

Locations

2710 Henry St
Ste 100B
Greensboro, NC 27405
Phone (336) 954-1007

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376635086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13118",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274153118",
            "telephone_number": "336-954-1007",
            "fax_number": "336-954-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 HENRY ST",
            "address_2": "SUITE 100-B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274054961",
            "telephone_number": "336-954-1007",
            "fax_number": "336-954-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILFORD INTERNAL MEDICINE ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-954-1007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "53129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890172W",
            "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.

Verify at the official NPI Registry.