Active NPI
Renee L Ursuy, P.A.-C
- Physician Assistant
- Greensboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 9102524
- Practice address
- 1126 N Church St
Suite 300
Greensboro, NC 27401-1000 - Phone
- (336) 938-0800
- Fax
- (336) 938-0755
- NPI assigned
- Apr 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 9102524 | FL | Primary |
Addresses
Primary practice location
1126 N Church St
Suite 300
Greensboro, NC 27401-1000
Mailing address
2715 Tavern CT
Jamestown, NC 27282-9586
Phone (786) 338-0478
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rursuy318839@direct.conehealth.com | Direct |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 832-7000
1200 N Elm St
Greensboro, NC 27401-1020
1220 Magnolia St
Greensboro, NC 27401-1309
501 N Elam Ave
Greensboro, NC 27403-1118
Phone (336) 832-1000
509 E N Elam Ave
FL 3
Greensboro, NC 27403-1118
Phone (336) 832-1970
Hospital & facility affiliations
- Moses H. Cone Memorial Hospital, the
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 9102524 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Moses H. Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| The Moses H. Cone Memorial Hospital Operating Corporation | Past | Accepting new patients |
Locations
300 E Wendover Ave
Greensboro, NC 27401
Phone (336) 663-5205
1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700
509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970
Interoperability endpoints
- rursuy318839@direct.conehealth.com
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1013265909
-
- Family Medicine Physician
- Elon, NC
- NPI 1558063958
-
- Maternal & Fetal Medicine Physician
- Greensboro, NC
- NPI 1891351847
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greensboro, NC
- NPI 1477591055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1780646398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2715 TAVERN CT",
"city": "JAMESTOWN",
"state": "NC",
"postal_code": "272829586",
"telephone_number": "786-338-0478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1126 N CHURCH ST",
"address_2": "SUITE 300",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011000",
"telephone_number": "336-938-0800",
"fax_number": "336-938-0755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URSUY",
"first_name": "RENEE",
"middle_name": "L",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-06",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA 9102524",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rursuy318839@direct.conehealth.com",
"affiliation": "N",
"endpointDescription": "cone health direct address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1126 N Church St",
"address_2": "Suite 300",
"city": "Greensboro",
"state": "NC",
"country_code": "US",
"postal_code": "274011000",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 25, 2021; 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.