Adultgero Health PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ADULTGERO HEALTH PLLC

Doing business as

Adultgero Health PLLC

Practice address

430 W Gate City Blvd Ste 3
Greensboro, NC 27406-1262

Phone

(614) 300-8971

NPI assigned

Jul 10, 2024

Last updated

Sep 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nana Yaa Addai, DNPNPI 1114539814

Title

Owner

Phone

(614) 300-8971

Specialties & licenses 5

Addresses

Other names 1

• ADULTGERO HEALTH PLLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nana Yaa Serwaa Addai, DNP

  • Family Medicine Physician
  • Raleigh, NC
  • NPI 1114539814
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1811734692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6470 ROGERS RD UNIT 244",
            "city": "ROLESVILLE",
            "state": "NC",
            "postal_code": "275712011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 W GATE CITY BLVD STE 3",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274061262",
            "telephone_number": "614-300-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULTGERO HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "ADDAI",
        "authorized_official_first_name": "NANA YAA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-300-8971",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADULTGERO HEALTH PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.