NPIMap

Organization Active NPI

Greensboro Pediatricians

  • Pediatrics Physician
  • Greensboro, NC
National Provider Identifier
1932273513
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
GREENSBORO PEDIATRICIANS
Practice address
510 N Elam Ave
Suite 202
Greensboro, NC 27403-1150
Phone
(336) 299-3183
Fax
(336) 299-6352
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Paula A Harder
Title
Business Office Manager
Phone
(336) 299-3183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

510 N Elam Ave
Suite 202
Greensboro, NC 27403-1150

Mailing address

510 N Elam Ave
Suite 202
Greensboro, NC 27403-1150
Phone (336) 299-3183

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0239057Greensboro Pediatricians Inc510 North Elam Avenue Suite 202, Greensboro, NC 27403Certificate of waiverApr 30, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d229eaa4-39ac-4ce1-9bf0-8c3742977a5b/

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932273513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N ELAM AVE",
            "address_2": "SUITE 202",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031150",
            "telephone_number": "336-299-3183",
            "fax_number": "336-299-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N ELAM AVE",
            "address_2": "SUITE 202",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031150",
            "telephone_number": "336-299-3183",
            "fax_number": "336-299-6352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENSBORO PEDIATRICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARDER",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "336-299-3183"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.