Individual provider Active NPI

Walter Davidson Pharr, M.D.

  • Internal Medicine Physician
  • Greensboro, NC
National Provider Identifier
1972598654
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
30453 Issued in NC
Practice address
1511 Westover Ter
Suite 201
Greensboro, NC 27408-7128
Phone
(336) 373-0611
Fax
(336) 373-1589
NPI assigned
Sep 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 30453 NC Primary

Addresses

Primary practice location

1511 Westover Ter
Suite 201
Greensboro, NC 27408-7128

Mailing address

1511 Westover Ter
Suite 201
Greensboro, NC 27408-7128
Phone (336) 373-0611

Other identifiers 1

IdentifierTypeStateIssuer
8901670MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100406000139 NC Practitioner - Internal Medicine 2567598253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Duke University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greensboro Medical Associates, P.a.Group PAC ID 6406751460, 9 clinicians

Practice addresses (Care Compare)

1511 Westover Ter
Suite 201
Greensboro, NC 27408-7131
Phone (336) 373-0611

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30453NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greensboro Medical Associates, P.a. Internal Medicine CurrentSince Oct 14, 1991 Accepting new patients

Locations

1511 Westover Ter
Greensboro, NC 27408
Phone (336) 373-0611

1511 Westover Ter
Ste 20
Greensboro, NC 27408

1511 Westover Ter
Ste 201
Greensboro, NC 27408
Phone (336) 333-7878

Interoperability endpoints

  • Direct secure messaging: walter.pharr@gsoma.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BAIIBA

Organizations & group practices 1

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

Hospital & facility affiliations 2

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1972598654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 WESTOVER TER",
            "address_2": "SUITE 201",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087128",
            "telephone_number": "336-373-0611",
            "fax_number": "336-373-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 WESTOVER TER",
            "address_2": "SUITE 201",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087128",
            "telephone_number": "336-373-0611",
            "fax_number": "336-373-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHARR",
        "first_name": "WALTER",
        "middle_name": "DAVIDSON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "30453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901670",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.