Organization Active NPI

Matrix Mending Advanced Wound Consultants & Mobile Care PLLC

  • Wound Care Registered Nurse
  • Greensboro, NC
National Provider Identifier
1609744937
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
Legal business name
MATRIX MENDING ADVANCED WOUND CONSULTANTS & MOBILE CARE PLLC
Practice address
405 Blandwood Ave Ste 1
Greensboro, NC 27401-2705
Phone
(336) 365-8308
NPI assigned
Oct 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Authorized official

Name
Anita Coady, ANPNPI 1457615569
Title
Owner
Phone
(336) 365-8308

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WW0000X Primary

Addresses

Primary practice location

405 Blandwood Ave Ste 1
Greensboro, NC 27401-2705

Mailing address

405 Blandwood Ave Ste 1
Greensboro, NC 27401-2705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251219000120 NC Part B Supplier - Clinic/Group Practice 9537654348 Receives reassigned benefits from 1 practitioner
Practice locations: Greensboro, NC

National Provider Directory

National Provider Directory

Locations

405 Blandwood Ave
Ste 1
Greensboro, NC 27401
Phone (336) 365-8308

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1761609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1609744937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 BLANDWOOD AVE STE 1",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 BLANDWOOD AVE STE 1",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012705",
            "telephone_number": "336-365-8308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX MENDING ADVANCED WOUND CONSULTANTS & MOBILE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "COADY",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-365-8308",
        "authorized_official_credential": "ANP"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "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 Nov 11, 2025; 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.