GAA CLINIC LLC (NPI# 1215468269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215468269 |
| Entity Type | Organization |
| Organization Name | GAA CLINIC LLC |
| Practice Address |
4009 W Wendover Ave Greensboro NC 27407-1904 |
| Practice Telephone | 3363893889 |
| Practice Fax Number | 3368511418 |
| Mailing Telephone | 3363893889 |
| Mailing Fax Number | 3368511418 |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-03-22 |
| Authorized Official Name | MR. HAROLD DEAN GREEN (MEMBER / MANAGER) |
| Authorized Official Telephone | 3363893889 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 200300814 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | CLINIC | 40091940 | 01 |
| Street Address |
4009 W WENDOVER AVE |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27407-1904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093326019 | Marie Louise Phillips | Behavior Technician | 111 Domona Dr, Unit 6, Greensboro, NC 27407 | 2020-08-13 |
| 1306472709 | Blondine Yvonne Wynn | Home Health Aide | 2812 Apt 2g Vanstory Street, Greesboro, NC 27407 | 2020-03-17 |
| 1104452994 | Monyetta Marie Howell | Counselor | 2216 W. Meadowview Road, Wilmington Bldg. Suite 207, Greensboro, NC 27407 | 2020-03-12 |
| 1215456769 | Tiffany R. Wright | Massage Therapist | 317 H South Westgate Drive, Greensboro, NC 27407 | 2017-09-15 |
| 1992225676 | Kendra Edwards | Social Worker | 1 Centerview Dr Ste 103, Greensboro, NC 27407 | 2017-06-22 |
| 1477902674 | Triad Integrative Wellness Center Inc | Acupuncturist | 315j South Westgate Dr, Greensboro, NC 27407 | 2016-06-08 |
| 1083098354 | Kathryn Theall | Counselor | 1901 Adams Farm Pkwy, Greensboro, NC 27407 | 2015-07-16 |
| 1962886333 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 5710-w West Gate City Blvd, Greensboro, NC 27407 | 2015-07-16 |
| 1619356177 | Lindsey King | Registered Nurse | 302 Pomona Drive, Greensboro, NC 27407 | 2015-05-29 |
| 1255737664 | M.a.p.p.s. | Clinic/Center | 2216 West Meadowview Road Ste 204, Greensboro, NC 27407 | 2014-11-12 |
| Find all providers in zip 27407 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194336594 | Healthworks Med Group of North Carolina P C | General Practice | 7701 Airport Center Dr Fl 2, Greensboro, NC 27409-9047 | 2020-08-11 |
| 1013442227 | Viarenew Greensboro, Pllc | General Practice | 5587 Garden Village Way, Ste E, Greensboro, NC 27410-8589 | 2017-04-25 |
| 1336687896 | Sage Medical, Pllc | General Practice | 150 Cobblestone Walk, Greensboro, NC 27455-8420 | 2017-02-05 |
| 1811159478 | Perry Timberlake | General Practice | 200 Sparrow Rd, Greensboro, AL 36744-5947 | 2008-06-25 |
| 1497975411 | Maurice K. Kpeglo | General Practice | 2025 Martin L. King Jr Dr., Suite-e, Greensboro, NC 27406-3334 | 2007-05-01 |
| 1063590479 | Maurice Kobla Kpeglo | General Practice | 2025 Martin L King Jr Dr, Suite E, Greensboro, NC 27406-3334 | 2006-11-02 |
| 1013925023 | Pandora Goode | General Practice | 3231 Yanceyville St, Alpha Medical Clinic, Greensboro, NC 27405-4043 | 2006-08-04 |
| 1871089490 | I Print Tees LLC | General Practice | 239 E Market St, Greensboro, NC 27401-2909 | 2018-07-06 |
| 1417261116 | Wanek Medical Center Pllc | General Practice | 6 N Pointe Ct, Greensboro, NC 27408-3187 | 2010-08-05 |
| 1629204409 | Han Pyo Choong | General Practice | 4925 W Market St, Greensboro, NC 27407-1544 | 2009-06-07 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27407 |
Please comment or provide details below to improve the information on GAA CLINIC LLC.
| 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.