Active NPI
Guilford Pain Management,PA
- Pain Clinic/Center
- Greensboro, NC
National Provider Identifier
1841435542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark Lucas Phillips, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pain Medicine Physician
- Greensboro, NC
- NPI 1275511966
-
- Physical Medicine & Rehabilitation Physician
- Greensboro, NC
- NPI 1952329310
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.