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GATE CITY INTEGRATIVE MEDICAL CLINIC PLLC NPI 1164071262


NPI Information

NPI: 1164071262
Provider Name: GATE CITY INTEGRATIVE MEDICAL CLINIC, PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
806 GREEN VALLEY RD STE 200
GREENSBORO, NC
ZIP 27408
Phone: (336) 860-1514
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GATE CITY INTEGRATIVE MEDICAL CLINIC, PLLC is a family medicine in Greensboro, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GATE CITY INTEGRATIVE MEDICAL CLINIC, PLLC NPI is 1164071262. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

806 GREEN VALLEY RD STE 200
GREENSBORO, NC
ZIP 27408-076
Phone: (336) 860-1514
Fax: (320) 238-7190

The provider's authorized official is Angela Johnson .
The authorized official title is Chief Executive Officer and has the following contact phone number (336) 860-1514.

The enumeration date for this NPI number is 9/10/2019 and was last updated on 9/19/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyNo
22083P0901XPreventive MedicinePublic Health & General Preventive MedicineNo
32084A0401XPsychiatry & NeurologyAddiction MedicineNo
42084P0800XPsychiatry & NeurologyPsychiatryNo
5251E00000XHome HealthNo
6261QH0100XClinic/CenterHealth ServiceNo
7207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.