Elizabeth Dewey MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

200300141 Issued in NC

Legal business name

ELIZABETH DEWEY MD

Practice address

4125 Lawndale Dr
Greensboro, NC 27455-1885

Phone

(336) 543-0786

Fax

(336) 234-5411

NPI assigned

Jul 27, 2016

Organization subpart

No

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

Authorized official

Name

Elizabeth Dewey, MDNPI 1730141805

Title

Owner/Physician

Phone

(336) 543-0786

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 3

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

• Elizabeth R Dewey, MD

  • Family Medicine Physician
  • Greensboro, NC
  • NPI 1730141805
  Medicare reassignment Care Compare group NPD Authorized official
• Kimberly Anne Tatum, N.P.

  • Nurse Practitioner
  • Greensboro, NC
  • NPI 1366704488
  Medicare reassignment Care Compare group NPD
• Sara Caroline Passey, PA-C

  • Physician Assistant
  • Greensboro, NC
  • NPI 1558633198
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1932652807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 LAWNDALE DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274551885",
            "telephone_number": "336-543-0786",
            "fax_number": "336-234-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 LAWNDALE DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274551885",
            "telephone_number": "336-543-0786",
            "fax_number": "336-234-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH DEWEY MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "DEWEY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "336-543-0786",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200300141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elite Home Care and Staffing Services, LLC
• Elites Consulting LLC
• Danielle Pilek Elkan, OTR/L
• Jenna Elkins
• Robert W Elkins, M.D.
• Diane Kay Ellefritz, LPCA
• Katherine Ellenwood

• Family Medicine Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.