| Guilford Medical Associates Pa | |
|
2703 Henry St Greensboro NC 27405-3669 | |
| (336) 621-8911 | |
| (336) 621-6322 |
| Full Name | Guilford Medical Associates Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2703 Henry St, Greensboro, North Carolina |
| Authorized Official Name and Position | Kevin Simon (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 3366218911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Guilford Medical Associates Pa Po Box 14944 Greensboro NC 27415-4944 Ph: (336) 621-8911 | Guilford Medical Associates Pa 2703 Henry St Greensboro NC 27405-3669 Ph: (336) 621-8911 |
| NPI Number | 1093731671 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 07/24/2019 |
| Medicare PECOS PAC ID | 9537197231 |
|---|---|
| Medicare Enrollment ID | O20050803000501 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093731671 | NPI | - | NPPES |
| 8901690 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 39624 (North Carolina) | Primary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 39624 (North Carolina) | Secondary |
| Provider Name | William D Shaw Jr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568482651 PECOS PAC ID: 6204812209 Enrollment ID: I20040629001103 |
| Provider Name | Ravisankar Rao Avva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861427494 PECOS PAC ID: 7911964358 Enrollment ID: I20041217000702 |
| Provider Name | Daniel George Paterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497774178 PECOS PAC ID: 5193782530 Enrollment ID: I20041227000713 |
| Provider Name | Mark A Perini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538185574 PECOS PAC ID: 9739146176 Enrollment ID: I20041227000718 |
| Provider Name | Richard W Tisovec |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306863741 PECOS PAC ID: 2466419809 Enrollment ID: I20041227000726 |
| Provider Name | Stephen Alan South |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1043237472 PECOS PAC ID: 3375500713 Enrollment ID: I20041227000729 |
| Provider Name | John M Russo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215957303 PECOS PAC ID: 7810954252 Enrollment ID: I20041228000520 |
| Provider Name | Richard A Aronson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861411431 PECOS PAC ID: 9739146168 Enrollment ID: I20041228000537 |
| Provider Name | Laura H Wile |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073580338 PECOS PAC ID: 8325040918 Enrollment ID: I20070212000170 |
| Provider Name | Sue Ellen Drinkard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053464966 PECOS PAC ID: 4284758673 Enrollment ID: I20100908000570 |
| Provider Name | Scott L Holwerda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285954024 PECOS PAC ID: 8224278361 Enrollment ID: I20130712000362 |
| Provider Name | Brittany D Turbeville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891041778 PECOS PAC ID: 5395970628 Enrollment ID: I20131022002090 |
| Provider Name | Sherry L Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952675209 PECOS PAC ID: 4587811633 Enrollment ID: I20140502001869 |
| Provider Name | Stephaine B Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700242641 PECOS PAC ID: 7315236676 Enrollment ID: I20160510001907 |
| Provider Name | Christina Robertson Hussami |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770965386 PECOS PAC ID: 2466717939 Enrollment ID: I20180604002094 |
| Provider Name | Lindsay Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366948556 PECOS PAC ID: 1254682925 Enrollment ID: I20180919000385 |
| Provider Name | Katie M Hyatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194385823 PECOS PAC ID: 9830526268 Enrollment ID: I20200225002040 |
| Provider Name | Austin C Skakle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770938235 PECOS PAC ID: 6103119953 Enrollment ID: I20200729002931 |
Greensboro True Health Chiropractic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 N Elam Ave Ste C, Greensboro, NC 27403 Phone: 336-866-0340 | |
3ehome Visiting Provider Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7614 Cedar Chase Dr, Greensboro, NC 27455 Phone: 702-328-1646 | |
Guilford Medical Center, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1593 Yanceyville St, Suite 100, Bldg A, Greensboro, NC 27405 Phone: 336-275-1306 Fax: 336-275-1307 | |
Eagle Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5500 W Friendly Ave Ste 200, Greensboro, NC 27410 Phone: 336-373-1996 Fax: 336-482-2320 | |
Infocus Eyewear Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 719 Green Valley Rd, Ste 303 B, Greensboro, NC 27408 Phone: 336-235-2577 Fax: 336-235-2578 | |
Cone Health Sickle Cell Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 509-e North Elam Avenue, 3rd Floor, Greensboro, NC 27403 Phone: 336-832-1970 Fax: 336-832-1988 | |
Viarenew Greensboro, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5587 Garden Village Way, Ste E, Greensboro, NC 27410 Phone: 336-763-1600 Fax: 336-763-6796 |