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GAA CLINIC LLC
NPI 1215468269
General Practice in Greensboro, NC

Active since March 22, 2017CLIA 34D2110958 · Waiver
4009 W WENDOVER AVE, GREENSBORO, NC 27407(336) 389-3889(336) 851-1418 Get Directions Write a Review

NPPES record last updated: March 22, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gaa Clinic Llc NPPES

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

GAA CLINIC LLC (NPI 1215468269) is a healthcare organization registered as a general practice in Greensboro, North Carolina and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through April 5, 2027 and lists Harold Dean Green, Member / Manager, as its authorized official.

NPPES Registry Identity

NPI1215468269
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameGAA CLINIC LLC
Location Address4009 W WENDOVER AVEGreensboro, NC 27407-1904
Mailing Address4009 W Wendover AveGreensboro, NC 27407-1904 · (336) 389-3889 · Fax (336) 851-1418
Phone(336) 389-3889
Fax(336) 851-1418
Organization SubpartNo
Authorized OfficialHarold Dean GreenMember / Manager · (336) 389-3889
Enumeration DateMarch 22, 2017
✔ NPI 1215468269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NC · 200300814
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4009 W WENDOVER AVE, Greensboro, NC 27407
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Other Identifiers 1

Other40091940NC · Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 34D2110958

Gaa Clinic · Greensboro, NC
Active · expires Apr 5, 2027
CLIA Number34D2110958
Laboratory TypePhysician Office
Certificate Effective DateApril 6, 2025
Certificate Expiration DateApril 5, 2027
Laboratory DirectorCathleen Zeller
Laboratory Phone(336) 389-3889
Laboratory LocationGaa Clinic4009 W Wendover Avenue, Greensboro, NC 27407
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DENISE TALBOTT FNP-C
Nurse Practitioner (Family)
4009 W WENDOVER AVE
GREENSBORO, NC 27407
Guilford County (336) 389-3889

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 Gaa Clinic LLC's NPI number?

The NPI number for Gaa Clinic LLC is 1215468269. It was assigned to this organization in the NPPES registry on March 22, 2017.

Where is Gaa Clinic LLC located?

Gaa Clinic LLC is located at 4009 W Wendover Ave, Greensboro, NC 27407. The listed phone number is (336) 389-3889.

What is Gaa Clinic LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Gaa Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2110958) is associated with this NPI, valid through April 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gaa Clinic LLC was last updated on March 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.