PETER G. LAVINE (NPI# 1063486439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063486439 |
| Entity Type | Individual |
| Full Name | PETER G. LAVINE |
| Credential | MD |
| Practice Address |
803 S Main St Greensboro GA 30642 |
| Mailing Address |
803 S Main St Greensboro GA 30642-1211 |
| Practice Telephone | 7064545154 |
| Practice Fax Number | 7064531441 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2019-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 058276 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 576355158E | 05 | |
| DEA | AL2405199 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902994239 | Peter E Lavine | Orthopaedic Surgery | 1145 19th St Nw Ste 710, Washington, DC 20036-3713 | 2006-10-11 |
| Street Address |
803 S MAIN ST |
| City | GREENSBORO |
| State | GA |
| Zip Code | 30642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285635847 | Clarence H Fossier | Specialist | 803 S Main St, Greensboro, GA 30642-1211 | 2005-08-04 |
| 1225637192 | Jennifer Dixon | Nurse Practitioner | 803 S Main St, Greensboro, GA 30642-1211 | 2020-10-22 |
| 1104476936 | Jessica Devero Milner | Nurse Practitioner | 803 S Main St, Greensboro, GA 30642-1211 | 2019-09-13 |
| 1427542265 | Jessica Elizabeth Anne Simpson | Nurse Practitioner | 803 S Main St, Greensboro, GA 30642 | 2018-06-15 |
| 1790235364 | Morgan Hardigree | Nurse Practitioner | 803 S Main St, Greensboro, GA 30642-1211 | 2016-10-07 |
| 1689057754 | Nathan Wade | Nurse Practitioner | 803 S Main St, Greensboro, GA 30642-1211 | 2015-07-07 |
| 1104210459 | Sonia Suda | Internal Medicine | 803 S Main St, Greensboro, GA 30642-1211 | 2015-03-25 |
| 1093121592 | Matthew Carithers | Dentist | 803 S Main St, Greensboro, GA 30642-1211 | 2014-07-03 |
| 1538574348 | Corey Woodard | Dentist | 803 S Main St, Greensboro, GA 30642-1211 | 2014-07-01 |
| 1396183752 | Missy Leigh Jackson | Nurse Practitioner | 803 S Main St, Greensboro, GA 30642-1211 | 2013-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821575176 | Donald Matson Keiser IIi | Pharmacist | 6380 Lake Oconee Parkway, Greensboro, GA 30642 | 2018-07-19 |
| 1427575844 | Kathleen Mcgrady | Psychologist | 1121 Careywood St, Greensboro, GA 30642 | 2017-08-25 |
| 1851733281 | April Jackson Powell | Physical Therapist | 1000 Cowles Clinc Way Ste D-100, Greensboro, GA 30642 | 2013-07-26 |
| 1003046673 | Apalachee Medical Supply & Mobility Inc | Durable Medical Equipment & Medical Supplies | 1000 Cowles Clinic Way, Aspen Building A-200, Greensboro, GA 30642 | 2009-07-17 |
| 1487808754 | Wendy C Pearson | Nurse Practitioner | 1000 Cowles Clinc Way Ste 300, Greensboro, GA 30642 | 2008-11-12 |
| 1144481516 | Kingdom Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1020 Park Drive, Suite B, Greensboro, GA 30642 | 2008-06-18 |
| 1538369343 | Jerry Allen Spivey Jr. | Anesthesiology | 1030 Founders Row, Greensboro, GA 30642 | 2007-07-19 |
| 1578766309 | Richard Norman Lee | Dentist | 1041 Parkside Commons, Suite 104, Greensboro, GA 30642 | 2007-06-08 |
| 1609085950 | Lott Cuffie Southwest Properties | Dentist | 1050 Parkside Commons, Suite 103, Greensboro, GA 30642 | 2007-05-22 |
| 1649320490 | Greene County Nursing Center LLC | Skilled Nursing Facility | 1211 Siloam Road, Greensboro, GA 30642 | 2007-01-12 |
| Find all providers in zip 30642 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811508591 | Guha Medical, Pa | Internal Medicine | 111 W Lewis St, Greensboro, NC 27406-1343 | 2020-08-14 |
| 1477173482 | Infinite Allure Pllc | Internal Medicine | 802 Green Valley Rd Ste 108, Greensboro, NC 27408-7099 | 2020-04-20 |
| 1679139372 | Iora Health North Carolina, P.C. | Internal Medicine | 3351 Battleground Ave., Greensboro, NC 27410 | 2019-05-17 |
| 1295265221 | Mobolaji Babatope Bakare Md PC | Internal Medicine | 3411 W Wendover Ave Ste D, Greensboro, NC 27407-1526 | 2017-06-13 |
| 1457703530 | Chereena C Walker | Internal Medicine | 2705 Kings Mill Rd, Greensboro, NC 27407-6429 | 2016-07-12 |
| 1609260942 | Tima Wellness Pa | Internal Medicine | 1591 Yanceyville Street, Suite 200a, Greensboro, NC 27405-6941 | 2015-03-25 |
| 1861806366 | Omair Sheikh | Internal Medicine | 1200 N Elm St # 2c314, Greensboro, NC 27401-1004 | 2014-06-12 |
| 1558709535 | Medlink Medical Associates, Pa | Internal Medicine | 2031 Martin Luther King Jr Dr Ste A, Greensboro, NC 27406-3300 | 2013-06-12 |
| 1518300474 | Carole Ngankeu Hall | Internal Medicine | 300 E Wendover Ave Fl 3, Greensboro, NC 27401-1229 | 2013-04-10 |
| 1013265909 | The Moses H. Cone Memorial Hospital Operating Corporation | Internal Medicine | 509-e North Elam Avenue, 3rd Floor, Greensboro, NC 27403-1129 | 2012-08-27 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 30642 |
Please comment or provide details below to improve the information on PETER G. LAVINE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.