EAGLE PHYSICIANS AND ASSOCIATES PA NPI 1164595757

NPI Information

  • NPI: 1164595757
  • Provider Name: EAGLE PHYSICIANS AND ASSOCIATES PA
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: EAGLE FAMILY MEDICINE AT VILLAGE
  • CLIA Number: 34D0239013
  • Address: 301 E WENDOVER AVE
    SUITE 215
    GREENSBORO, NC
    ZIP 27401
  • Phone: (336) 379-1156

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NPI Details

EAGLE PHYSICIANS AND ASSOCIATES PA 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. EAGLE PHYSICIANS AND ASSOCIATES PA NPI is 1164595757. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Eagle Family Medicine At Village.

The provider's business location address is:

301 E WENDOVER AVE
SUITE 215
GREENSBORO, NC
ZIP 27401-230
Phone: (336) 379-1156
Fax: (336) 370-0442

The provider's authorized official is Terri S. Jones .
The authorized official title is Director, Eagle Business Services and has the following contact phone number (336) 268-3201.

The CLIA number assigned to this NPI record is 34D0239013 - practitioner other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/15/2006 and was last updated on 9/24/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantNo
2207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1890134YMEDICAIDNORTH CAROLINA
20134YOTHERNORTH CAROLINABCBS OF NC
3CB9132MEDICARE PINNORTH CAROLINA
42318442MEDICARE PINNORTH CAROLINA

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: 3/30/2025

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