Active NPI
John Christian Mundy, M.D., F.A.C.S.
- Specialist
- Greensboro, NC
National Provider Identifier
1790766723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 39046
- Practice address
- 1126 N Church St
Suite 201
Greensboro, NC 27401-1000 - Phone
- (336) 273-9932
- Fax
- (336) 273-9936
- NPI assigned
- Nov 8, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 39046 | NC | Primary |
Addresses
Primary practice location
1126 N Church St
Suite 201
Greensboro, NC 27401-1000
Mailing address
3008 Lake Forest Dr
Greensboro, NC 27408-3825
Phone (336) 545-0494
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000650 | Other | NC | UNITED HEALTHCARE |
| 896137A | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39046 | NC | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1790766723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3008 LAKE FOREST DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274083825",
"telephone_number": "336-545-0494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1126 N CHURCH ST",
"address_2": "SUITE 201",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011000",
"telephone_number": "336-273-9932",
"fax_number": "336-273-9936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNDY",
"first_name": "JOHN",
"middle_name": "CHRISTIAN",
"name_prefix": "Dr.",
"credential": "M.D., F.A.C.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "39046",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1000650",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "896137A",
"state": "NC"
}
],
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.