Organization Active NPI

Guilford Pain Management,PA

  • Pain Clinic/Center
  • Greensboro, NC
National Provider Identifier
1841435542
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
GUILFORD PAIN MANAGEMENT,PA
Practice address
522 N Elam Ave
Ste 203
Greensboro, NC 27403-1151
Phone
(336) 852-8444
Fax
(336) 852-8401
NPI assigned
Dec 9, 2008
Last updated
Mar 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

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

Authorized official

Name
Mr. Mark Lucas Phillips, MDNPI 1275511966
Title
Owner
Phone
(336) 852-8444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

522 N Elam Ave
Ste 203
Greensboro, NC 27403-1151

Mailing address

522 N Elam Ave
Ste 203
Greensboro, NC 27403-1151
Phone (336) 852-8444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090324000525 NC Part B Supplier - Clinic/Group Practice 1153488812 Receives reassigned benefits from 2 practitioners
Practice locations: Greensboro, NC

National Provider Directory

National Provider Directory

Locations

522 N Elam Ave
Ste 203
Greensboro, NC 27403
Phone (336) 852-8444

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1841435542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 N ELAM AVE",
            "address_2": "STE 203",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031151",
            "telephone_number": "336-852-8444",
            "fax_number": "336-852-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N ELAM AVE",
            "address_2": "STE 203",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031151",
            "telephone_number": "336-852-8444",
            "fax_number": "336-852-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILFORD PAIN MANAGEMENT,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "LUCAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-852-8444",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.