1. Home
  2. Directory
  3. North Carolina
  4. Greensboro
  5. Clinic Center
  6. NPI Profile

FUTUREMED EVENING CLINIC PLLC
NPI 1194233403
Clinic/Center - Primary Care in Greensboro, NC

Active since January 21, 2018CLIA 34D2144715 · Waiver
2003 BOULEVARD ST STE C, GREENSBORO, NC 27407(336) 579-8328 Get Directions Write a Review

NPPES record last updated: November 26, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 26, 2020, Jan 21, 2018 (2 updates tracked since 2018).

About Futuremed Evening Clinic Pllc NPPES

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

FUTUREMED EVENING CLINIC PLLC (NPI 1194233403) is a healthcare organization registered as a primary care in Greensboro, North Carolina and active in the NPI registry since January 2018. The organization holds a CLIA Waiver certificate valid through February 21, 2028 and lists Tarshia Donnell, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1194233403
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameFUTUREMED EVENING CLINIC PLLC
Location Address2003 BOULEVARD ST STE CGreensboro, NC 27407-4579
Mailing AddressPo Box 788Greensboro, NC 27402-0788
Phone(336) 579-8328
Organization SubpartNo
Authorized OfficialTarshia DonnellPractice Manager · (336) 523-2305
Enumeration DateJanuary 21, 2018
Last NPPES UpdateNovember 26, 20202 updates tracked since enumeration
NPPES CertifiedNovember 26, 2020
✔ NPI 1194233403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2003 BOULEVARD ST STE C, Greensboro, NC 27407
Open in Google Maps ↗

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 of Waiver 34D2144715

Futuremed Evening Clinic PLLC · Greensboro, NC
Active · expires Feb 21, 2028
CLIA Number34D2144715
Laboratory TypePhysician Office
Certificate Effective DateFebruary 22, 2026
Certificate Expiration DateFebruary 21, 2028
Laboratory DirectorDwight M. Williams
Laboratory Phone(336) 579-8328
Laboratory LocationFuturemed Evening Clinic PLLC2203 C Boulevard Street, Greensboro, NC 27407
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAELLA WALTON
Social Worker (Clinical)
2003 BOULEVARD ST STE C
GREENSBORO, NC 27407
Guilford County (336) 339-6747
GENERAL MEDICAL CLINIC, PA
Clinic/Center (Primary Care)
2003 BOULEVARD ST STE C
GREENSBORO, NC 27407
Guilford County (336) 633-0407

Frequently Asked Questions

What is FUTUREMED EVENING CLINIC PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1194233403, enumerated as an "organization" on January 21, 2018.

Where is the provider located?

The provider is located at 2003 BOULEVARD ST STE C GREENSBORO, NC 27407 and the phone number is (336) 579-8328.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.