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EAGLE PHYSICIANS AND ASSOCIATES PA NPI 1457436982


NPI Information

NPI: 1457436982
Provider Name: EAGLE PHYSICIANS AND ASSOCIATES PA

Doing Business As: EAGLE FAMILY MEDICINE @ GUILFORD COLLEGE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 34D0978717

Address:
1210 NEW GARDEN RD
GREENSBORO, NC
ZIP 27410
Phone: (336) 294-6190
Get Directions

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 1457436982. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Eagle Family Medicine @ Guilford College.

The provider's business location address is:

1210 NEW GARDEN RD
GREENSBORO, NC
ZIP 27410-721
Phone: (336) 294-6190
Fax: (336) 294-6278

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 34D0978717 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/25/2006 and was last updated on 7/26/2016.


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
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CB9132MEDICARE PINNORTH CAROLINA
2890134XMEDICAIDNORTH CAROLINA
30134XOTHERNORTH CAROLINABCBS OF NC GROUP #
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: 4/28/2024

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