TIMA WELLNESS PA


Address: 1591 Yanceyville Street, Suite 200a, Greensboro, NC 27405-6941
Phone: 3369073006

TIMA WELLNESS PA (NPI# 1609260942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609260942
Entity Type Organization
Organization Name TIMA WELLNESS PA
Practice Address 1591 Yanceyville Street
Suite 200a
Greensboro
NC 27405-6941
Practice Telephone 3369073006
Practice Fax Number 3366638421
Mailing Telephone 3369073006
Mailing Fax Number 3362301761
Enumeration Date 2015-03-25
Last Update Date 2017-11-30
Authorized Official Name BYRON GLADDEN (PRACTICE MANAGER)
Authorized Official Telephone 3369073006
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 95-01417 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 8975633 05

Office Location

Street Address 1591 YANCEYVILLE STREET
SUITE 200A
City GREENSBORO
State NC
Zip Code 27405-6941

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477038727 Miya Jackson Behavior Technician 2308 Golden Gate Dr, Apt G, Greensboro, NC 27405 2018-10-02
1821576299 Woodrow Eric Bradley Day Training/Habilitation Specialist 1403 Woocbriar Ave, Greensboro, NC 27405 2018-07-30
1922593094 Constance Foushee Nurse Practitioner 1100 E. Wendover, Greensboro, NC 27405 2018-06-29
1760972434 Ayana Linette Holland Home Health Aide 1417 Old Hickory Dr, Greensboro, NC 27405 2018-05-17
1790294700 G. Antoine Gray Specialist 2100 Phillips Avenue, Suite B, Greensboro, NC 27405 2017-09-21
1306375910 Wendy Carisa Boger Registered Nurse 1100 East Wendover Avenue, Greensboro, NC 27405 2017-06-07
1659827715 Changing Paths Counseling Center Pllc Community/Behavioral Health 1600 E Wendoer Ave., Suite C, Greensboro, NC 27405 2016-08-29
1295187896 Amanda Kirby Counseling, PC Counselor 1175 Revolution Mill Drive, Suite 29-2, Greensboro, NC 27405 2016-07-07
1780049429 Pta Residential Treatment Facility, Physical Disabilities 1900 Sheldon Road, Greensboro, NC 27405 2015-12-23
1841655644 Amaya Nicole Hardy Counselor 1600r E Wendover Ave Ste R, Greensboro, NC 27405 2015-12-21
Find all providers in zip 27405

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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
1134476682 Edgar Seymour Marks Internal Medicine 5 Fountain Manor Dr Apt B, Greensboro, NC 27405-8035 2012-08-14
Find all providers in GREENSBORO

Competitor

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City GREENSBORO
Zip Code 27405

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Dataset Information

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.

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