| County Of Guilford | |
|
1100 E Wendover Ave Gcdph Greensboro Greensboro NC 27405-6713 | |
| (336) 641-7777 | |
| (336) 641-6971 |
| Full Name | County Of Guilford |
|---|---|
| Speciality | Clinic/Center |
| Location | 1100 E Wendover Ave, Greensboro, North Carolina |
| Authorized Official Name and Position | Annette Bey (PH PHYSICIAN/MEDICAL DIRECTOR) |
| Authorized Official Contact | 3366417777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Guilford 1203 Maple St Ph Administration Greensboro NC 27405-6910 Ph: (336) 641-7777 | County Of Guilford 1100 E Wendover Ave Gcdph Greensboro Greensboro NC 27405-6713 Ph: (336) 641-7777 |
| NPI Number | 1245272657 |
|---|---|
| Provider Enumeration Date | 06/11/2006 |
| Last Update Date | 01/11/2024 |
| Medicare PECOS PAC ID | 0941285092 |
|---|---|
| Medicare Enrollment ID | O20151006001929 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245272657 | NPI | - | NPPES |
| 3404341 | Medicaid | NC | |
| 07124 | Other | NC | BLUE CROSS BLUE SHIELD |
| AS34604210001 | Other | NC | CIGNA HEALTHCARE |
| 01-07677 | Other | NC | UNITED HEALTHCARE |
| 5905172 | Medicaid | NC |
| Provider Name | Kimberly R Shelton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649270984 PECOS PAC ID: 9133102403 Enrollment ID: I20071126000141 |
| Provider Name | Ugonna A Anyanwu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922138700 PECOS PAC ID: 4284700089 Enrollment ID: I20080902000251 |
| Provider Name | Ashley Carson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073641031 PECOS PAC ID: 9739256785 Enrollment ID: I20080917000620 |
| Provider Name | Annette Bey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669437950 PECOS PAC ID: 0446396683 Enrollment ID: I20091001000526 |
| Provider Name | Stephanie J Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124256649 PECOS PAC ID: 3375689912 Enrollment ID: I20091012000428 |
| Provider Name | Michael E Norins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699739557 PECOS PAC ID: 3870626534 Enrollment ID: I20100802000200 |
| Provider Name | Edwina L Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053689505 PECOS PAC ID: 9537335484 Enrollment ID: I20111227000779 |
| Provider Name | Karen House |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164550919 PECOS PAC ID: 2769790039 Enrollment ID: I20151006002398 |
| Provider Name | Vashonda Foust-brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578934170 PECOS PAC ID: 5890092662 Enrollment ID: I20160322000476 |
| Provider Name | Margareta Ann Montoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629424858 PECOS PAC ID: 9436441318 Enrollment ID: I20160713002167 |
| Provider Name | Karen Diane Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114067220 PECOS PAC ID: 5698043271 Enrollment ID: I20170623000000 |
| Provider Name | Ty B Robinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922085570 PECOS PAC ID: 4082646302 Enrollment ID: I20170629001224 |
| Provider Name | Mandesia Rochelle Hairston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508376914 PECOS PAC ID: 7911264585 Enrollment ID: I20171206003503 |
| Provider Name | Maricelina D Caro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457335630 PECOS PAC ID: 2860453040 Enrollment ID: I20180710001772 |
| Provider Name | Constance Foushee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922593094 PECOS PAC ID: 3577816073 Enrollment ID: I20181031000769 |
| Provider Name | Shakenna M Bass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730733080 PECOS PAC ID: 5799016259 Enrollment ID: I20191014003544 |
| Provider Name | Jasmine L Mcentyre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871145912 PECOS PAC ID: 4789019555 Enrollment ID: I20200124001659 |
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