EAGLE FAMILY MEDICINE AT VILLAGE
NPI 1164595757
Family Medicine in Greensboro, NC

Active since November 15, 2006CLIA 34D0239013 · Microscopy
301 E WENDOVER AVE, SUITE 215, GREENSBORO, NC 27401(336) 379-1156(336) 370-0442 Get Directions Write a Review

NPPES record last updated: September 24, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Eagle Family Medicine At Village NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAGLE FAMILY MEDICINE AT VILLAGE (NPI 1164595757) is a healthcare organization registered as a family medicine in Greensboro, North Carolina and active in the NPI registry since November 2006. The organization holds a CLIA Microscopy certificate valid through June 22, 2028 and lists Terri S. Jones, Director, Eagle Business Services, as its authorized official.

NPPES Registry Identity

NPI1164595757
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEAGLE PHYSICIANS AND ASSOCIATES PA
Location Address301 E WENDOVER AVE, SUITE 215Greensboro, NC 27401-1230
Mailing AddressPo Box 14883Greensboro, NC 27415-4883 · (336) 379-1156 · Fax (336) 370-0442
Fax(336) 370-0442
Organization SubpartYes
Authorized OfficialTerri S. JonesDirector, Eagle Business Services · (336) 268-3201
Enumeration DateNovember 15, 2006
Last NPPES UpdateSeptember 24, 2015
✔ NPI 1164595757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
Also ListedPhysician AssistantTaxonomy 363A00000X
301 E WENDOVER AVE, Greensboro, NC 27401

Other Names 1

Doing Business AsEagle Family Medicine At Village

Other Identifiers 4

Medicaid890134YNC
Other0134YNC · Bcbs Of Nc
Medicare PINCB9132NC
Medicare PIN2318442NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eagle Family Medicine At Village is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

179

Medicare enrollment records show 179 clinicians reassign Medicare billing to Eagle Family Medicine At Village, which bills Medicare for the services they deliver. Of these, 24 practice at this address and 106 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 14

Family Practice55
Certified Registered Nurse Anesthetist (CRNA)43
Nurse Practitioner34
Internal Medicine13
Pathology9
Gastroenterology8
Obstetrics/Gynecology5
Physical Therapist in Private Practice3
6 other specialties9

Nearest to this location (20)

See all 179
Gastroenterology
NPI 1174692248
301 E WENDOVER AVE SUITE 200
Greensboro, NC 27401
(336) 274-3241
✔ PECOSSame address
Nurse Practitioner
NPI 1043151566
301 E WENDOVER AVE STE 200
Greensboro, NC 27401
(336) 274-3241
✔ PECOSSame address
Nurse Practitioner
NPI 1639040322
301 E WENDOVER AVE STE 200
Greensboro, NC 27401
(336) 274-6515
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1528700069
301 E WENDOVER AVE STE 200
Greensboro, NC 27401
(336) 274-3241
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1124197090
301 E WENDOVER AVE SUITE 215
Greensboro, NC 27401
(336) 379-1156
✔ PECOSSame address
Family Practice
NPI 1245436203
301 E WENDOVER AVE SUITE 215, WENDOVER MEDICAL CENTER
Greensboro, NC 27401
(336) 379-1156
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1144250820
301 E WENDOVER AVE STE 200
Greensboro, NC 27401
(336) 274-3241
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1013536341
301 E WENDOVER AVE STE 300
Greensboro, NC 27401
(336) 268-3380
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1891713699
301 E WENDOVER AVE SUITE 300
Greensboro, NC 27401
(336) 268-3380
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1861832305
301 E WENDOVER AVE STE 200
Greensboro, NC 27401
(336) 274-3241
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1447291661
301 E WENDOVER AVE STE 200
Greensboro, NC 27401
(336) 274-3241
✔ PECOSSame address
Family Practice
NPI 1831268796
301 E WENDOVER AVE SUITE 215
Greensboro, NC 27401
(336) 379-1156
✔ PECOSSame address
Internal Medicine
NPI 1902985237
301 E WENDOVER AVE SUITE 200
Greensboro, NC 27401
(336) 274-3241
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1700955671
301 E WENDOVER AVE SUITE 215
Greensboro, NC 27401
(336) 379-1156
✔ PECOSSame address
Internal Medicine
NPI 1689753923
301 E WENDOVER AVE SUITE 200
Greensboro, NC 27401
(336) 274-3241
✔ PECOSSame address
Family Practice
NPI 1730641556
301 E WENDOVER AVE STE 215
Greensboro, NC 27401
(336) 379-1156
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1720646920
301 E WENDOVER AVE STE 200
Greensboro, NC 27401
(713) 500-6500
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1407925696
301 E WENDOVER AVE SUITE 200
Greensboro, NC 27401
(336) 274-3241
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1689775470
301 E WENDOVER AVE SUITE 200
Greensboro, NC 27401
(336) 274-3241
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1073620159
301 E WENDOVER AVE STE 300
Greensboro, NC 27401
(336) 268-3380
✔ PECOSSame address
See all 179 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 34D0239013

Eagle Family Medicine At Village · Greensboro, NC
Active · expires Jun 22, 2028
CLIA Number34D0239013
Laboratory TypePractitioner Other
Certificate Effective DateJune 23, 2026
Certificate Expiration DateJune 22, 2028
Laboratory DirectorDr. Kimberlee Shaw
Laboratory Phone(336) 379-1156
Laboratory LocationEagle Family Medicine At Village301 E Wendover Ave Suite 215, Greensboro, NC 27401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eagle Physicians And Associates PA's NPI number?

The NPI number for Eagle Physicians And Associates PA is 1164595757. It was assigned to this organization in the NPPES registry on November 15, 2006. The provider is doing business as Eagle Family Medicine At Village.

Where is Eagle Physicians And Associates PA located?

Eagle Physicians And Associates PA is located at 301 E Wendover Ave Suite 215, Greensboro, NC 27401. The listed phone number is (336) 379-1156.

What is Eagle Physicians And Associates PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Eagle Physicians And Associates PA enrolled in Medicare?

Yes. Eagle Physicians And Associates PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eagle Physicians And Associates PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 179 clinicians in 14 Medicare specialties reassign their Medicare billing to Eagle Physicians And Associates PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (55), Certified Registered Nurse Anesthetist (CRNA) (43) and Nurse Practitioner (34). Of these, 24 practice at this address and 106 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Eagle Physicians And Associates PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D0239013) is associated with this NPI, valid through June 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eagle Physicians And Associates PA accept?

Health plans from Cigna Healthcare list Eagle Physicians And Associates PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eagle Physicians And Associates PA was last updated on September 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.