NPIMap

Individual provider Active NPI

Marc F Guerra, M.D.

  • Family Medicine Physician
  • Lenoir, NC
National Provider Identifier
1891735718
Registry record updated Feb 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26826 Issued in NC
Practice address
1766 Connelly Springs Rd
Lenoir, NC 28645-7827
Phone
(828) 728-8224
Fax
(828) 728-1690
NPI assigned
Jun 8, 2006
Last updated
Feb 26, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26826 NC Primary

Addresses

Primary practice location

1766 Connelly Springs Rd
Lenoir, NC 28645-7827

Mailing address

1766 Connelly Springs Rd
Lenoir, NC 28645-7827
Phone (828) 728-8224

Other identifiers 3

IdentifierTypeStateIssuer
37873OtherNCBCBS
8937873MedicaidNC
1891735718MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040127001166 NC Practitioner - Family Practice 0840199659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of New York at Buffalo School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1766 Connelly Springs Rd
Lenoir, NC 28645-7827
Phone (828) 728-8224

2201 S Sterling St
Morganton, NC 28655-4044
Phone (828) 580-6753

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Apr 17, 2015 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc CurrentSince Apr 17, 2015 Accepting new patients
Hallmark Family Physicians, Inc. Family Medicine Past Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Family Medicine Past Accepting new patients

Locations

1766 Connelly Springs Rd
Lenoir, NC 28645
Phone (828) 728-8224

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

Interoperability endpoints

  • Direct secure messaging: mguerra107811@direct.unc.nchie.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519603200000",
    "number": "1891735718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1766 CONNELLY SPRINGS RD",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286457827",
            "telephone_number": "828-728-8224",
            "fax_number": "828-728-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1766 CONNELLY SPRINGS RD",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286457827",
            "telephone_number": "828-728-8224",
            "fax_number": "828-728-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "MARC",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2018-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "26826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "37873",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8937873",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891735718",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir, NC

Sources for this page

Verify at the official NPI Registry.