NPIMap

Organization Active NPI

Moses Cone Medical Services, Inc.

  • Internal Medicine Physician
  • Greensboro, NC
National Provider Identifier
1427095249
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MOSES CONE MEDICAL SERVICES, INC.
Practice address
1200 N Elm St
Greensboro, NC 27401-1004
Phone
(336) 832-9943
Fax
(336) 832-8272
NPI assigned
Jun 1, 2006
Last updated
Jun 30, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
THE MOSES H. CONE MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Authorized official

Name
Jared Cooper
Title
Director, CHMG Operations
Phone
(336) 663-5044

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Nurse Practitioner 363L00000X
Acute Care Nurse Practitioner 363LA2100X
Clinical Psychologist 103TC0700X
Clinical Social Worker 1041C0700X
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X
Gastroenterology Physician 207RG0100X
Pulmonary Disease Physician 207RP1001X

Addresses

Primary practice location

1200 N Elm St
Greensboro, NC 27401-1004

Mailing address

PO Box 745040
Atlanta, GA 30374-5040

Other identifiers 1

IdentifierTypeStateIssuer
0255YOtherNCBCBS NC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040128000519 NC Part B Supplier - Clinic/Group Practice 2769395458 Receives reassigned benefits from 377 practitioners
1 other NPI on this enrollment
Practice locations: Greensboro, NC; High Point, NC; Kernersville, NC; Madison, NC; Oak Ridge, NC; Reidsville, NC; Summerfield, NC; Whitsett, NC…
O20060606000258 NC Part B Supplier - Clinic/Group Practice 2769395458 Receives reassigned benefits from 9 practitioners
Practice locations: Whitsett, NC; Summerfield, NC; Oak Ridge, NC; Kernersville, NC; High Point, NC; Greensboro, NC; Burlington, NC
O20140416000469 NC Part B Supplier - Clinic/Group Practice 2769395458 Receives reassigned benefits from 4 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Whitsett, NC; Summerfield, NC; Reidsville, NC; Oak Ridge, NC; Madison, NC; Kernersville, NC; High Point, NC; Greensboro, NC…

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Part of
Moses H Cone Memorial H

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

Locations

1409 University Dr
Burlington, NC 27215
Phone (336) 584-5659

1593 Yanceyville St
Ste 200
Greensboro, NC 27405
Phone (336) 230-0402

3518 Drawbridge Pkwy
Ste 240
Greensboro, NC 27410
Phone (336) 275-0927

403 Parkway St
Ste B
Greensboro, NC 27401
Phone (336) 272-2119

4435 Jessup Grove Rd
Greensboro, NC 27410

510 N Elam Ave
Greensboro, NC 27403
Phone (336) 299-3183

520 N Elm St
Greensboro, NC 27401

709 Green Valley Rd
#1
Greensboro, NC 27408

709 Green Valley Rd
#2
Greensboro, NC 27408

709 Green Valley Rd
Fl 1
Greensboro, NC 27408
Phone (336) 890-2530

709 Green Valley Rd
Fl 2
Greensboro, NC 27408
Phone (336) 547-1792

2630 Willard Dairy Rd
Ste 200
High Point, NC 27265
Phone (336) 884-3800

401 W Decatur St
#A
Madison, NC 27025
Phone (336) 548-5996

1816 Richardson Dr
Reidsville, NC 27320
Phone (336) 342-4446

621 S Main St
Ste 100
Reidsville, NC 27320
Phone (336) 342-6880

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

Practitioners & affiliated clinicians

Practitioners 394

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 394

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1427095249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745040",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303745040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011004",
            "telephone_number": "336-832-9943",
            "fax_number": "336-832-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSES CONE MEDICAL SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MOSES H. CONE MEMORIAL HOSPITAL",
        "enumeration_date": "2006-06-01",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "DIRECTOR, CHMG OPERATIONS",
        "authorized_official_telephone_number": "336-663-5044"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "0255Y",
            "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 Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.