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501 N Elam Ave Greensboro NC 27403-1118 | |
| (336) 832-1100 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 501 N Elam Ave, Greensboro, North Carolina |
| Authorized Official Name and Position | David L Kitzmiller (ASSISTANT TREASURER) |
| Authorized Official Contact | 3368327579 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 405633 Atlanta GA 30384-5633 Ph: (336) 832-7579 | 501 N Elam Ave Greensboro NC 27403-1118 Ph: (336) 832-1100 |
| NPI Number | 1265589097 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 09/19/2014 |
| Medicare PECOS PAC ID | 6204744600 |
|---|---|
| Medicare Enrollment ID | O20031204000940 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265589097 | NPI | - | NPPES |
| 1265589097 | Medicaid | NC |
| Provider Name | Lennis P Livesay |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487607032 PECOS PAC ID: 3375509045 Enrollment ID: I20041203000888 |
| Provider Name | Kristin Rainelle Curcio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538195276 PECOS PAC ID: 9234174343 Enrollment ID: I20050620000959 |
| Provider Name | Mohamed Kamel Mohamed |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1346293784 PECOS PAC ID: 8123064516 Enrollment ID: I20050707000668 |
| Provider Name | Daniel L Clarke-pearson |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1487742888 PECOS PAC ID: 6507881679 Enrollment ID: I20051007000294 |
| Provider Name | Vetta Higgs |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1851313993 PECOS PAC ID: 4880626647 Enrollment ID: I20051107000787 |
| Provider Name | Peter R Ennever |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154372738 PECOS PAC ID: 7012928765 Enrollment ID: I20060510000171 |
| Provider Name | Everett Ribakove |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1609863810 PECOS PAC ID: 2769494475 Enrollment ID: I20060621000178 |
| Provider Name | Firas N Shadad |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1942257506 PECOS PAC ID: 0042214918 Enrollment ID: I20060907000208 |
| Provider Name | Angeles A Secord |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1073531083 PECOS PAC ID: 5698770808 Enrollment ID: I20060921000538 |
| Provider Name | Dequincy A Lewis |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043228836 PECOS PAC ID: 0648275354 Enrollment ID: I20060930000052 |
| Provider Name | Boris M Darovsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306831961 PECOS PAC ID: 3779523220 Enrollment ID: I20080311000357 |
| Provider Name | Timothy Finnegan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083757892 PECOS PAC ID: 2668447103 Enrollment ID: I20080904000370 |
| Provider Name | Kathleen M Elliott |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1255510970 PECOS PAC ID: 0840358446 Enrollment ID: I20081027000444 |
| Provider Name | Christine H Mccarty |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1437102878 PECOS PAC ID: 7214096346 Enrollment ID: I20081104000800 |
| Provider Name | Sarah Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154560621 PECOS PAC ID: 3072661511 Enrollment ID: I20090511000347 |
| Provider Name | Christin Z Gusler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528293610 PECOS PAC ID: 9739224858 Enrollment ID: I20100301000547 |
| Provider Name | Gary B Sherrill |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1003869413 PECOS PAC ID: 1557492519 Enrollment ID: I20100708000568 |
| Provider Name | James M Granfortuna |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366495707 PECOS PAC ID: 4486786720 Enrollment ID: I20100721000910 |
| Provider Name | Heather E Boscia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487967386 PECOS PAC ID: 0244363539 Enrollment ID: I20100806000742 |
| Provider Name | Andrew Berchuck |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1154349181 PECOS PAC ID: 2769507656 Enrollment ID: I20100915000953 |
| Provider Name | Trevor Jolly |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1588893218 PECOS PAC ID: 5496893182 Enrollment ID: I20101112000732 |
| Provider Name | Lisa A Jackson-moore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104812932 PECOS PAC ID: 6305033721 Enrollment ID: I20110224000231 |
| Provider Name | Lisa K Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396966917 PECOS PAC ID: 6901081447 Enrollment ID: I20110427000839 |
| Provider Name | Adam R Kuykendal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447412713 PECOS PAC ID: 9234303017 Enrollment ID: I20111111000516 |
| Provider Name | Lindsey Cornetto Causey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912284712 PECOS PAC ID: 0749457299 Enrollment ID: I20120124000436 |
| Provider Name | Joshua R Borders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295008381 PECOS PAC ID: 5991969115 Enrollment ID: I20120619000259 |
| Provider Name | Anna G Faidas |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780779116 PECOS PAC ID: 2466604541 Enrollment ID: I20121219000201 |
| Provider Name | Melissa D Cross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598007023 PECOS PAC ID: 4284873795 Enrollment ID: I20130613000208 |
| Provider Name | Tracy Lynn Rose |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164659686 PECOS PAC ID: 7911163134 Enrollment ID: I20140827001612 |
| Provider Name | Ni Gorsuch |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538175393 PECOS PAC ID: 3072517986 Enrollment ID: I20141007001165 |
| Provider Name | Gregory A Formanek |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568407583 PECOS PAC ID: 9436273778 Enrollment ID: I20141023000852 |
| Provider Name | Padma Kamineni |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275575615 PECOS PAC ID: 4688691439 Enrollment ID: I20150210001950 |
| Provider Name | Sarah Cincinnati Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689051351 PECOS PAC ID: 1355654914 Enrollment ID: I20150724012568 |
| Provider Name | Aasim S Sehbai |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1689629602 PECOS PAC ID: 0042223422 Enrollment ID: I20150810001098 |
| Provider Name | Heather Ferrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326421751 PECOS PAC ID: 3870802747 Enrollment ID: I20151014003371 |
| Provider Name | Vinay Kumar Gudena |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851374292 PECOS PAC ID: 9739107715 Enrollment ID: I20151202000201 |
| Provider Name | Gretchen Wallace Dawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235530981 PECOS PAC ID: 9234430810 Enrollment ID: I20151228000464 |
| Provider Name | Yan Feng |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003067455 PECOS PAC ID: 8820237423 Enrollment ID: I20151229001014 |
| Provider Name | Shannon K Penland |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275574121 PECOS PAC ID: 9032126586 Enrollment ID: I20160115002134 |
| Provider Name | Louise Zhou |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1003075490 PECOS PAC ID: 4385812155 Enrollment ID: I20160707000458 |
| Provider Name | Gautam K Kale |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1427170554 PECOS PAC ID: 0244328920 Enrollment ID: I20160822000679 |
| Provider Name | Toby C Windham |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1407861859 PECOS PAC ID: 2062403942 Enrollment ID: I20161011000213 |
| Provider Name | Govinda R Brahmanday |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1679788962 PECOS PAC ID: 6002965142 Enrollment ID: I20161102001669 |
| Provider Name | Leslie Horn Clark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518286061 PECOS PAC ID: 7911121405 Enrollment ID: I20170919003130 |
| Provider Name | Archana Chandrakant Rao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295963361 PECOS PAC ID: 2365738135 Enrollment ID: I20171103001980 |
| Provider Name | Sirisha Perumandla |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1700891454 PECOS PAC ID: 1759386121 Enrollment ID: I20180124003125 |
| Provider Name | Jennifer E Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063924660 PECOS PAC ID: 0143584037 Enrollment ID: I20180430002448 |
| Provider Name | Brahma Konda |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1851369672 PECOS PAC ID: 9436342573 Enrollment ID: I20180508001911 |
| Provider Name | Mikhail Perlov |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1184820359 PECOS PAC ID: 9638310287 Enrollment ID: I20180619003267 |
| Provider Name | Zhou Yu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326300948 PECOS PAC ID: 6305060575 Enrollment ID: I20180627001370 |
| Provider Name | Zachary Koehn Vaslow |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497193080 PECOS PAC ID: 5294014098 Enrollment ID: I20180718003030 |
| Provider Name | Lauren G Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578057345 PECOS PAC ID: 2567712102 Enrollment ID: I20180901000072 |
| Provider Name | Lacie Katz Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558848606 PECOS PAC ID: 0143572180 Enrollment ID: I20181002003910 |
| Provider Name | Michelle Elizabeth Stoisits |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285018366 PECOS PAC ID: 6305181207 Enrollment ID: I20181220003484 |
| Provider Name | Sreedhar Katragadda |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1346484896 PECOS PAC ID: 1052464195 Enrollment ID: I20190319002415 |
| Provider Name | Richard H Ruben |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1801826490 PECOS PAC ID: 0840191151 Enrollment ID: I20190508003497 |
| Provider Name | Yan Zhao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124462379 PECOS PAC ID: 4981844461 Enrollment ID: I20190816001501 |
| Provider Name | Randi Lane Lockamy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912467689 PECOS PAC ID: 0840521621 Enrollment ID: I20191009000466 |
| Provider Name | Benjamin Brown Albright |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861856981 PECOS PAC ID: 6002180254 Enrollment ID: I20200814001155 |
| Provider Name | Katherine Rhoads Tucker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245674571 PECOS PAC ID: 4082983721 Enrollment ID: I20201022002942 |
| Provider Name | John Thomas Dorsey |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396165585 PECOS PAC ID: 8628488939 Enrollment ID: I20201027002374 |
| Provider Name | Melissa Ann Parsons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437622875 PECOS PAC ID: 9830422997 Enrollment ID: I20211013003157 |
| Provider Name | Avinash Pasam |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1750609582 PECOS PAC ID: 2860798147 Enrollment ID: I20220211002097 |
| Provider Name | Naga Venkata Kalipraveena Iruku |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447539887 PECOS PAC ID: 1951618305 Enrollment ID: I20220325000907 |
| Provider Name | Kavita Agrawal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336591106 PECOS PAC ID: 3173950466 Enrollment ID: I20230616002861 |
| Provider Name | Meredith Anne Newton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649624727 PECOS PAC ID: 1951691179 Enrollment ID: I20230718003430 |
| Provider Name | Hyndavi Kandala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770070153 PECOS PAC ID: 1557608957 Enrollment ID: I20240701000008 |
| Provider Name | Rubens Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659635159 PECOS PAC ID: 6709015498 Enrollment ID: I20241008003285 |
| Provider Name | Lisa Joyce Rouson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831696467 PECOS PAC ID: 5294065264 Enrollment ID: I20241107002663 |
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 | |
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 | |
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 |