Active NPI
Ellbree Minor, CMA
- Public Health & General Preventive Medicine Physician
- Greensboro, NC
National Provider Identifier
1801510946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 2776361
- Practice address
- 1100 E Wendover Ave
Greensboro, NC 27405-6713 - Phone
- (336) 641-7590
- NPI assigned
- Oct 3, 2022
- 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 |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | 2776361 | NC | Primary |
Addresses
Primary practice location
1100 E Wendover Ave
Greensboro, NC 27405-6713
Mailing address
1100 E Wendover Ave
Greensboro, NC 27405-6713
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
- Certified Medical Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2776361 | NC | MD | Public Health & General Preventive Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1801510946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 E WENDOVER AVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274056713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 E WENDOVER AVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274056713",
"telephone_number": "336-641-7590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINOR",
"first_name": "ELLBREE",
"name_prefix": "Mrs.",
"credential": "CMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-03",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "NC",
"license": "2776361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
- Mind Body & Soul Counseling & Wellness Center
- Mind Healing Therapeutic Services PLLC
- Mindful Creative Connections
- Arthur B Mines, M.A. CCC-A
- Anna Minnick, RN
- John Scott Minor, DDS
- William Stephen Minor Jr., RN MSN ACNP
- Nancy Woodruff Minter, LPTA
- Farhaan Rowshan Mir, M.D.
- Miracle of Faith Family Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.