Active NPI
After Gateway Inc.
- Developmental Disabilities Clinic/Center
- Greensboro, NC
National Provider Identifier
1699897504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- Legal business name
- AFTER GATEWAY INC.
- Practice address
- 501 S Mendenhall St
Greensboro, NC 27403-2514 - Phone
- (336) 379-7670
- Fax
- (336) 379-7317
- NPI assigned
- Apr 4, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carolyn W McManus, QDDP
- Title
- Administrative Director
- Phone
- (336) 379-7670
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | NC | Primary |
Addresses
Primary practice location
501 S Mendenhall St
Greensboro, NC 27403-2514
Mailing address
501 S Mendenhall St
Greensboro, NC 27403-2514
Phone (336) 379-7670
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3409398 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
501 S Mendenhall St
Greensboro, NC 27403
Phone (336) 379-7670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1699897504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 S MENDENHALL ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274032514",
"telephone_number": "336-379-7670",
"fax_number": "336-379-7317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S MENDENHALL ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274032514",
"telephone_number": "336-379-7670",
"fax_number": "336-379-7317"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AFTER GATEWAY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MCMANUS",
"authorized_official_first_name": "CAROLYN",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
"authorized_official_telephone_number": "336-379-7670",
"authorized_official_credential": "QDDP"
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3409398",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
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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.