Individual provider Active NPI

Dana Chinese Collins, D.O.

  • Family Medicine Physician
  • Greensboro, NC
National Provider Identifier
1447312442
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2008-00682 Issued in NC
Practice address
1511 Westover Ter Ste 201
Greensboro, NC 27408-7131
Phone
(336) 373-0611
Fax
(336) 373-1589
NPI assigned
Dec 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2008-00682 NC Primary
Family Medicine Physician 207Q00000X 5101016887 MI

Addresses

Primary practice location

1511 Westover Ter Ste 201
Greensboro, NC 27408-7131

Mailing address

1701 Westchester Dr
Ste 850
High Point, NC 27262-7008
Phone (336) 802-2400

Other names 1

  • Dana C Chuckwuemeka Former name

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
I20091221000380 NC Practitioner - Internal Medicine 3870633910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio University, College of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greensboro Medical Associates, P.a.Group PAC ID 6406751460, 9 clinicians

Practice addresses (Care Compare)

1511 Westover Ter
Suite 201
Greensboro, NC 27408-7131
Phone (336) 373-0611

Hospital & facility affiliations

  • Well Care Home Health of the Triad Inc Home health agency, Advance, NC, CCN 347051

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101016887MIMDFamily Medicine Physician
2008-00682NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greensboro Medical Associates, P.a. CurrentSince Jun 1, 2019 Accepting new patients
Cornerstone Health Care PA Past Accepting new patients

Locations

1511 Westover Ter
Greensboro, NC 27408
Phone (336) 373-0611

1511 Westover Ter
Ste 20
Greensboro, NC 27408

1511 Westover Ter
Ste 201
Greensboro, NC 27408
Phone (336) 333-7878

Interoperability endpoints

  • Direct secure messaging: dana.collins@gsoma.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BAIIBA

Organizations & group practices 2

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1447312442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 WESTCHESTER DR",
            "address_2": "STE 850",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627008",
            "telephone_number": "336-802-2400",
            "fax_number": "336-802-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 WESTOVER TER STE 201",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087131",
            "telephone_number": "336-373-0611",
            "fax_number": "336-373-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "DANA",
        "middle_name": "CHINESE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2008-00682",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101016887",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "CHUCKWUEMEKA",
            "middle_name": "C",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.