GENEVIEVE D. MACK (NPI# 1447255542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447255542 |
| Entity Type | Individual |
| Full Name | GENEVIEVE D. MACK |
| Other Name | GENEVIEVE D. MOSS |
| Credential | CRNP |
| Practice Address |
510 N Elam Ave Greensboro Pediatricians, Inc. Greensboro NC 27403-1150 |
| Practice Telephone | 3362993183 |
| Practice Fax Number | 3362996352 |
| Mailing Telephone | 3362993183 |
| Mailing Fax Number | 3362996352 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2011-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
216149 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
510 N ELAM AVE GREENSBORO PEDIATRICIANS, INC. |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27403-1150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215255153 | Kathy M Harris | Nurse Practitioner | 510 N Elam Ave, Suite 101, Greensboro, NC 27403-1150 | 2010-05-16 |
| 1952626764 | Carmen Pearson Thomas | Pediatrics | 510 N Elam Ave, Suite 202, Greensboro, NC 27403-1150 | 2010-04-05 |
| 1104053685 | Harvette A. Corder | Nurse Practitioner | 510 N Elam Ave, Suite 101, Greensboro, NC 27403-1150 | 2009-06-11 |
| 1659535144 | Linda Joan Goff | Psychologist | 510 N Elam Ave, Suite 201, Greensboro, NC 27403-1150 | 2008-07-14 |
| 1871768499 | Eve M Key | Nurse Practitioner | 510 N Elam Ave, Suite 101, Greensboro, NC 27403-1150 | 2008-04-24 |
| 1497920029 | Susan P Lineberry | Nurse Practitioner | 510 N Elam Ave, Suite 101, Greensboro, NC 27403-1150 | 2008-04-24 |
| 1104001585 | Christina L Haverstock | Dermatology | 510 N Elam Ave, Suite 303, Greensboro, NC 27403-1150 | 2008-01-04 |
| 1912186818 | K2 Physiatry, Pa | Pain Medicine | 510 N Elam Ave, Suite 302, Greensboro, NC 27403-1150 | 2007-10-26 |
| 1578785556 | Mark W Cummings | Pediatrics | 510 N Elam Ave, Suite 201, Greensboro, NC 27403-1150 | 2007-05-02 |
| 1780706002 | Piedmont Healthcare for Women 2, LLC | Obstetrics & Gynecology | 510 N Elam Ave, Ste 101, Greensboro, NC 27403-1150 | 2007-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518581412 | Tina Tate | Nurse Practitioner | Behavioral Health Hospital, 700 Walter Reed Drive, Greensboro, NC 27403 | 2020-06-05 |
| 1609438514 | Gail Corneau | Psychologist | Uncg Psychology Clinic, 1100 West Market Street, Greensboro, NC 27403 | 2019-07-01 |
| 1528527298 | Kendall Austin Macdonald | Hearing Instrument Specialist | 2823 A Spring Garden St, Suite A, Greensboro, NC 27403 | 2019-03-13 |
| 1093292237 | Andrew Robertson | Pharmacist | 1903 W. Florida St, Greensboro, NC 27403 | 2018-07-20 |
| 1447778071 | Bac Developmental Program Inc | Day Training, Developmentally Disabled Services | 2203 Coliseum Blvd, Greensboro, NC 27403 | 2017-09-04 |
| 1144607128 | Waldo's Optical | Eyewear Supplier (Equipment, not the service) | 2500 Spring Garden St., Suite C, Greensboro, NC 27403 | 2015-04-29 |
| 1851703144 | Tedra Slade | Social Worker | 612 Pasteur Dr., Suite 300, Greensboro, NC 27403 | 2014-05-21 |
| 1336568807 | Brian Sninsky | Urology | Alliance Urology Specialists, Pa, 509 N. Elam Ave., 2nd Floor, Greensboro, NC 27403 | 2014-04-14 |
| 1003237785 | Peter Reich | Counselor | 907 Englewood St, Greensboro, NC 27403 | 2013-12-23 |
| 1508295429 | Alexander Wilson Lpc Inc | Counselor | 3719 West Market Street, Suite B, Greensboro, NC 27403 | 2013-11-01 |
| Find all providers in zip 27403 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548814072 | Ashley Goodwin Friddle | Nurse Practitioner | 802 Green Valley Rd Ste 210, Greensboro, NC 27408-7099 | 2019-08-01 |
| 1972671394 | Gretchen Netherton | Nurse Practitioner | 400 E Commerce Street, Greensboro, NC 27260-5221 | 2006-12-01 |
| 1265474639 | Edna Rosellen Dedlow | Nurse Practitioner | 719 Green Valley Rd Ste 306, Developmental and Psychological Center, Greensboro, NC 27408-7026 | 2006-06-12 |
| 1255931655 | Taylor Houk | Nurse Practitioner | 1121 N Church St, Greensboro, NC 27401 | 2020-10-27 |
| 1003395948 | Kaila Haskins | Nurse Practitioner | 1200 N Elm St, Greensboro, NC 27401 | 2018-08-11 |
| 1528508793 | Mallory Patterson | Nurse Practitioner | 510 N Elam Ave Ste 202, Greensboro, NC 27403-1177 | 2017-03-07 |
| 1457897175 | Jennifer Lauren Rafeek | Nurse Practitioner | 301 E Wendover Ave, Suite 400, Greensboro, NC 27401-1230 | 2017-01-19 |
| 1881148542 | Athena Theodora Samaras | Nurse Practitioner | 1046 E Wendover Ave, Greensboro, NC 27405-6712 | 2016-08-11 |
| 1578956546 | Lynn Klett | Nurse Practitioner | 719 Green Valley Rd, Suite 209, Greensboro, NC 27408-7014 | 2015-03-13 |
| 1366798001 | Tammy Schnople Schaub | Nurse Practitioner | 433 W Meadowview Rd, Greensboro, NC 27406-4316 | 2012-07-31 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27403 |
Please comment or provide details below to improve the information on GENEVIEVE D. MACK.
| 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.