Individual provider Active NPI

Priya Priyambada, M.D

  • Family Medicine Physician
  • Greensboro, NC
National Provider Identifier
1649535519
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2025-02436 Issued in NC
Practice address
3150 N Elm St
Greensboro, NC 27408-3880
Phone
(336) 716-7811
Fax
(336) 716-9526
NPI assigned
Jul 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 30298 MS
Family Medicine Physician 207Q00000X E-9492 AR
Geriatric Medicine (Family Medicine) Physician 207QG0300X 30298 MS
Family Medicine Physician 207Q00000X 2025-02436 NC Primary

Addresses

Primary practice location

3150 N Elm St
Greensboro, NC 27408-3880

Mailing address

3150 N Elm St
Greensboro, NC 27408-3880
Phone (336) 716-7811

Other practice location 1

4301 W Markham St
Slot no 530, Family and Preventive medicine
Little Rock, AR 72205-7101
Phone (501) 686-8820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221007001564 MS Practitioner - Family Practice 6204129760 Reassigns benefits to 2 organizations
I20260121003078 NC Practitioner - Family Practice 6204129760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exceed Physical Therapy, LLCGroup PAC ID 8123378338, 72 clinicians
Singing River Health SystemGroup PAC ID 3870405194, 290 clinicians
Wake Forest University Health SciencesGroup PAC ID 4486564952, 2,633 clinicians

Practice addresses (Care Compare)

12261 Hwy 49
Gulfport, MS 39503-2976
Phone (228) 265-7185

3099 Bienville Blvd
Ocean Springs, MS 39564-4308
Phone (228) 818-0310

3150 N Elm St
Greensboro, NC 27408-3880
Phone (336) 716-7811

Hospital & facility affiliations

  • Singing River Gulfport Hospital, Gulfport, MS, CCN 250123
  • Singing River Health System Hospital, Pascagoula, MS, CCN 250040
  • North Carolina Baptist Hospital Hospital, Winston-Salem, NC, CCN 340047

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-9492ARMDFamily Medicine Physician
2025-02436NCMDFamily Medicine Physician
30298MSMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Nov 3, 2025 Accepting new patients
Singing River Gulfport CurrentSince Oct 3, 2022 Accepting new patients
Singing River Health System CurrentSince Oct 3, 2022 Accepting new patients

Locations

2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576

12121 Highway 49
Gulfport, MS 39503
Phone (228) 831-1572

350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054

3099 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 872-2403

2819 Denny Ave
Pascagoula, MS 39581
Phone (228) 762-3466

3150 N Elm St
Greensboro, NC 27408
Phone (336) 716-7811

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: ppriyambada3029796@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 4

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 8

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": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1649535519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274083880",
            "telephone_number": "336-716-7811",
            "fax_number": "336-716-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274083880",
            "telephone_number": "336-716-7811",
            "fax_number": "336-716-9526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 W Markham St",
            "address_2": "Slot no 530, Family and Preventive medicine",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-686-8820",
            "fax_number": "501-686-8421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIYAMBADA",
        "first_name": "PRIYA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-06",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "30298",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-9492",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MS",
            "license": "30298",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2025-02436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.