Organization Active NPI

Abc Pediatrics of Greensboro, P.a.

  • Pediatrics Physician
  • Greensboro, NC
National Provider Identifier
1982833976
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ABC PEDIATRICS OF GREENSBORO, P.A.
Practice address
1002 N Church St Ste 1
Greensboro, NC 27401-1440
Phone
(336) 235-3060
Fax
(336) 235-3079
NPI assigned
Jul 10, 2009
Last updated
Nov 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Authorized official

Name
Ms. Jamila Shani Jeter
Title
Practice Administrator
Phone
(336) 235-3060

Specialties & licenses 1

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

Addresses

Primary practice location

1002 N Church St Ste 1
Greensboro, NC 27401-1440

Mailing address

1002 N Church St Ste 1
Greensboro, NC 27401-1440
Phone (336) 235-3060

National Provider Directory

National Provider Directory

Locations

1002 N Church St
Ste 1
Greensboro, NC 27401
Phone (336) 235-3060

526 N Elam Ave
Ste 202
Greensboro, NC 27403
Phone (336) 235-3060

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1982833976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 N CHURCH ST STE 1",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011440",
            "telephone_number": "336-235-3060",
            "fax_number": "336-235-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 N CHURCH ST STE 1",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011440",
            "telephone_number": "336-235-3060",
            "fax_number": "336-235-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC PEDIATRICS OF GREENSBORO, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-10",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "JETER",
        "authorized_official_first_name": "JAMILA",
        "authorized_official_middle_name": "SHANI",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "336-235-3060",
        "authorized_official_name_prefix": "Ms."
    },
    "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 Nov 4, 2020; 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.