Active NPI
Homa Shahnawaz, MD
- General Practice Physician
- Greensboro, NC
National Provider Identifier
1558439554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 200301287
- Practice address
- 3801 W Market St
Greensboro, NC 27407-1301 - Phone
- (336) 883-0029
- Fax
- (336) 645-5339
- NPI assigned
- Nov 30, 2006
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Care Clinic/Center | 261QE0002X | 221914 | NY | |
| Emergency Care Clinic/Center | 261QE0002X | 01287 | NC | |
| Family Medicine Physician | 207Q00000X | ME108518 | FL | |
| General Practice Physician | 208D00000X | 200301287 | NC | Primary |
Addresses
Primary practice location
3801 W Market St
Greensboro, NC 27407-1301
Mailing address
3802 Crosstimbers Dr
Greensboro, NC 27410-2131
Phone (925) 207-1155
Other practice location 1
3402 Battleground Ave
Greensboro, NC 27410-2578
Phone (336) 883-0029
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of North Carolina at Chapel Hill School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
507 N Lindsay St
High Point, NC 27262-4303
Phone (336) 883-0029
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200301287 | NC | MD | General Practice Physician |
| 221914 | NY | MD | Emergency Care Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent's Midtown Hospital | Past | Accepting new patients | |
| Paragon Emergency Services LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- High Point, NC
- NPI 1952404188
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
-
- General Acute Care Hospital
- New York, NY
- NPI 1124136403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1558439554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3802 CROSSTIMBERS DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274102131",
"telephone_number": "925-207-1155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 W MARKET ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274071301",
"telephone_number": "336-883-0029",
"fax_number": "336-645-5339"
}
],
"practiceLocations": [
{
"address_1": "3402 Battleground Ave",
"address_purpose": "LOCATION",
"city": "Greensboro",
"state": "NC",
"postal_code": "274102578",
"country_code": "US",
"telephone_number": "336-883-0029",
"fax_number": "336-883-0867",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAHNAWAZ",
"first_name": "HOMA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "261QE0002X",
"taxonomy_group": "",
"desc": "Clinic/Center, Emergency Care",
"state": "NY",
"license": "221914",
"primary": false
},
{
"code": "261QE0002X",
"taxonomy_group": "",
"desc": "Clinic/Center, Emergency Care",
"state": "NC",
"license": "01287",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME108518",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NC",
"license": "200301287",
"primary": true
}
],
"identifiers": [],
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.