Individual provider Active NPI

Frances C Greenlee, P.A.

  • Medical Physician Assistant
  • Winston-Salem, NC
National Provider Identifier
1376671503
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
100269 Issued in NC
Practice address
Lower Level Reynolds Gym-Wingate Rd
Wingate Rd
Winston-Salem, NC 27109-7386
Phone
(336) 758-5218
Fax
(336) 758-6054
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 100269 NC Primary

Addresses

Primary practice location

Lower Level Reynolds Gym-Wingate Rd
Wingate Rd
Winston-Salem, NC 27109-7386

Mailing address

PO Box 7386
Lower Level Reynolds Gym-Wingate Road
Winston-Salem, NC 27109-7386
Phone (336) 758-5218

Other names 1

  • Mrs. Frances Katherine Yvonne C Greenlee Other name

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)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
100269NCMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376671503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7386",
            "address_2": "LOWER LEVEL REYNOLDS GYM-WINGATE ROAD",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271097386",
            "telephone_number": "336-758-5218",
            "fax_number": "336-758-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LOWER LEVEL REYNOLDS GYM-WINGATE RD",
            "address_2": "WINGATE RD",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271097386",
            "telephone_number": "336-758-5218",
            "fax_number": "336-758-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENLEE",
        "first_name": "FRANCES",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "100269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRANCES",
            "last_name": "GREENLEE",
            "middle_name": "KATHERINE YVONNE C",
            "prefix": "MRS.",
            "credential": "P.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winston-Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.