Greensboro Adult and Adolescent Internal Medicine PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GREENSBORO ADULT AND ADOLESCENT INTERNAL MEDICINE PA

Practice address

1511 Westover Ter
Greensboro, NC 27408-7128

Phone

(336) 378-9906

Fax

(336) 273-7495

NPI assigned

Jul 3, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Emily Welch

Title

Manager

Phone

(336) 378-9906

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Creed Corbett, DNP

  • Adult Health Nurse Practitioner
  • Greensboro, NC
  • NPI 1063990869
  Medicare reassignment NPD
• Tonya Renee Cranford, NP-C

  • Family Nurse Practitioner
  • Greensboro, NC
  • NPI 1659983930
  Medicare reassignment NPD
• Dana Elaine Wilkinson, NP

  • Adult Health Nurse Practitioner
  • Greensboro, NC
  • NPI 1386747426
  Medicare reassignment NPD
• Amanda Ruth Collier, PA-C

  • Physician Assistant
  • Greensboro, NC
  • NPI 1477850915
  Medicare reassignment
• Courtney Forcucci Ollis, PA-C

  • Physician Assistant
  • Greensboro, NC
  • NPI 1831585801

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1508896895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 WESTOVER TER",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087128",
            "telephone_number": "336-378-9906",
            "fax_number": "336-273-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 WESTOVER TER",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087128",
            "telephone_number": "336-378-9906",
            "fax_number": "336-273-7495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENSBORO ADULT AND ADOLESCENT INTERNAL MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "336-378-9906",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890218R",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey Andrew Greene, DDS
• Tiffany Gail Greene, MS PA-C
• Wendi J Greene, SLP
• Greenlight Home Care LLC
• Courtney Pangle Greenough, MSN, RNC-NIC, NNP-BC
• Greensboro Al Holdings, LLC
• Greensboro Anesthesia Physicians,PC
• Greensboro BG Opco LLC
• Greensboro Cardiology Associates PA
• Greensboro Cerebral Palsy Association

• Internal Medicine Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.