Active NPI
Greensboro Radiology, PA
- Specialist
- Greensboro, NC
National Provider Identifier
1962632380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- GREENSBORO RADIOLOGY, PA
- Practice address
- 1200 N Elm St FL 5
Greensboro, NC 27401-1004 - Phone
- (336) 832-7000
- NPI assigned
- Jul 20, 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
- Karen Vaughn
- Title
- Authorized Official
- Phone
- (629) 317-1465
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1200 N Elm St FL 5
Greensboro, NC 27401-1004
Mailing address
PO Box 85378
Chicago, IL 60689-5378
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8901675 | Medicaid | NC |
Other names 1
- Select Specialty Hospital-Greensboro
National Provider Directory
National Provider Directory- Tax ID family
- Greensboro Radiology PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Greensboro, NC
- NPI 1164652541
Locations
1200 N Elm St
Ste 5
Greensboro, NC 27401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774483200000",
"number": "1962632380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 85378",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606895378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N ELM ST FL 5",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011004",
"telephone_number": "336-832-7000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENSBORO RADIOLOGY, PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-20",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A",
"authorized_official_last_name": "VAUGHN",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "629-317-1465"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8901675",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Select Specialty Hospital-Greensboro",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Select Specialty Hospital-Greensboro",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greensboro, NC
- Greensboro Podiatry Associates, P.a.
- Greensboro Radiation Oncologist, PA
- Greensboro Radiation Oncologists PA
- Greensboro Radiology, PA
- Greensboro Radiology, PA
- Greensboro Retirement Center Inc
- Greensboro Rheumatology, P.a.
- Greensboro Specialty Surgery Center Limited Partnership
- Greensboro Spine and Scoliosis Center PLLC
- Greensboro True Health Chiropractic, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.