Organization Active NPI

Occumed, LLC

  • Family Medicine Physician
  • Greensboro, NC
National Provider Identifier
1821242892
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OCCUMED, LLC
Practice address
1910 N Church St
Greensboro, NC 27405-5632
Phone
(336) 574-0707
Fax
(336) 574-0039
NPI assigned
Nov 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Authorized official

Name
Ms. Lea Ann Hollinger, LLC MANAGER
Title
Administrator
Phone
(336) 574-0707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1910 N Church St
Greensboro, NC 27405-5632

Mailing address

1910 N Church St
Greensboro, NC 27405-5632
Phone (336) 574-0707

Other identifiers 1

IdentifierTypeStateIssuer
891193AMedicaidNC

Other names 1

  • OCCUMED WALK IN & URGENT CARE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1821242892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 N CHURCH ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055632",
            "telephone_number": "336-574-0707",
            "fax_number": "336-574-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 N CHURCH ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055632",
            "telephone_number": "336-574-0707",
            "fax_number": "336-574-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUMED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "HOLLINGER",
        "authorized_official_first_name": "LEA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-574-0707",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LLC MANAGER"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891193A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OCCUMED WALK IN & URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 4, 2008; 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.