Individual provider Active NPI

Ann Marie Kulik, M.D.

  • Family Medicine Physician
  • Greensboro, NC
National Provider Identifier
1386608784
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9900575 Issued in NC
Practice address
4443 Jessup Grove Rd
Greensboro, NC 27410-9934
Phone
(336) 663-4600
NPI assigned
Apr 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9900575 NC Primary

Addresses

Primary practice location

4443 Jessup Grove Rd
Greensboro, NC 27410-9934

Mailing address

PO Box 5719
Aiken, SC 29804-5719
Phone (803) 648-8804

Other practice location 1

191 Centre South Blvd
Aiken, SC 29803-6313
Phone (803) 648-8804

Other identifiers 5

IdentifierTypeStateIssuer
89253OtherNCMEDCOST
31146OtherNCPARTNERS MEDICARE
891217UMedicaidNC
1217UOtherNCBCBS NC
7414054OtherNCAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221108000692 NC Practitioner - Family Practice 5698772671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Moses Cone Medical Services IncGroup PAC ID 2769395458, 214 clinicians

Practice addresses (Care Compare)

4443 Jessup Grove Rd
Greensboro, NC 27410-9934
Phone (336) 663-4600

Hospital & facility affiliations

  • Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Medical Services, Inc. Family Medicine CurrentSince Nov 1, 2022 Accepting new patients
Moses Cone Medical Services, Inc. Family Medicine CurrentSince Nov 1, 2022 Accepting new patients
Aiken Family Physicians PC Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Sanford Clinic Past Accepting new patients

Locations

1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700

4443 Jessup Grove Rd
Greensboro, NC 27410
Phone (336) 663-4600

3803 Robert Porcher Way
Greensboro, NC 27410
Phone (336) 286-3442

4810 W Wendover Ave
Jamestown, NC 27282
Phone (336) 547-8422

940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1386608784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5719",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298045719",
            "telephone_number": "803-648-8804",
            "fax_number": "803-648-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4443 JESSUP GROVE RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274109934",
            "telephone_number": "336-663-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "191 Centre South Blvd",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "298036313",
            "country_code": "US",
            "telephone_number": "803-648-8804",
            "fax_number": "803-648-8815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KULIK",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9900575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "89253",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS MEDICARE",
            "identifier": "31146",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891217U",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "1217U",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7414054",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.