Organization Active NPI

Gary a Rankin MD PA

Doing business as Retina and Diabetic Eye Center

  • Ophthalmology Physician
  • Greensboro, NC
National Provider Identifier
1568517985
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
GARY A RANKIN MD PA
Doing business as
Retina and Diabetic Eye Center
Practice address
1204 Maple St
Greensboro, NC 27405-6911
Phone
(336) 294-8258
Fax
(336) 292-4109
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Teresa H Alexander, RN
Title
Practice Manager
Phone
(336) 294-8258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1204 Maple St
Greensboro, NC 27405-6911

Mailing address

1204 Maple St
Greensboro, NC 27405-6911
Phone (336) 294-8258

Other identifiers 1

IdentifierTypeStateIssuer
8970189MedicaidNC

Other names 1

  • Retina and Diabetic Eye Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568517985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 MAPLE ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056911",
            "telephone_number": "336-294-8258",
            "fax_number": "336-292-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 MAPLE ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056911",
            "telephone_number": "336-294-8258",
            "fax_number": "336-292-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY A RANKIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "336-294-8258",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8970189",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Retina and Diabetic Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.