General Medical Clinic,PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

9700286 Issued in NC

Legal business name

GENERAL MEDICAL CLINIC,PA

Practice address

3505 N Roxboro St Ste C
Durham, NC 27704-2767

Phone

(919) 383-0003

Fax

(919) 382-0042

NPI assigned

Mar 26, 2009

Organization subpart

Yes

Parent organization

GENERAL MEDICAL CLINIC,PAAs reported in NPPES

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

Authorized official

Name

Mrs. Camie M Waynick

Title

Controller

Phone

(336) 633-0413

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

General Medical Clinicpa

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• General Medical Clinic, PA

  • Primary Care Clinic/Center
  • Greensboro, NC
  • NPI 1871522003
  NPPES parent name

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

{
    "created_epoch": "1238025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1952543688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5568",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272045568",
            "telephone_number": "336-633-0413",
            "fax_number": "336-633-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 N ROXBORO ST STE C",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042767",
            "telephone_number": "919-383-0003",
            "fax_number": "919-382-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL MEDICAL CLINIC,PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENERAL MEDICAL CLINIC,PA",
        "enumeration_date": "2009-03-26",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "WAYNICK",
        "authorized_official_first_name": "CAMIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "336-633-0413",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "9700286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907888",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice Geller, M.A.,L.P.C.,
• Christine H. Gellings, LCSW
• Rhonda Marie Gempe, NP STUDENT
• Liza Isabel Genao, M.D.
• John T Geneczko Jr., M.D.
• General Medical Practice and Urgent Care, PA
• Genesis Dwi Services, LLC
• Genesis Healthcare
• Kevin Carl Gengel, M.D.
• Alexis Mikal Genovese

• Primary Care Clinic/Center in Durham, NC
• Providers in Durham, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.