GATE CITY PRIMARY CARE CENTER
NPI 1295265221
Internal Medicine in Greensboro, NC

Active since June 13, 2017CLIA 34D2142529 · Waiver
3411 W WENDOVER AVE STE D, GREENSBORO, NC 27407(336) 558-4665 Get Directions Write a Review

NPPES record last updated: July 31, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 31, 2017, Jun 13, 2017 (2 updates tracked since 2017).

About Gate City Primary Care Center NPPES

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

GATE CITY PRIMARY CARE CENTER (NPI 1295265221) is a healthcare organization registered as an internal medicine in Greensboro, North Carolina and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through November 20, 2026 and lists Mobolaji B. Bakare, Owner, as its authorized official.

NPPES Registry Identity

NPI1295265221
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMOBOLAJI BABATOPE BAKARE MD PC
Location Address3411 W WENDOVER AVE STE DGreensboro, NC 27407-1526
Mailing AddressPo Box 39175Greensboro, NC 27438-9175 · (336) 558-4665
Organization SubpartNo
Authorized OfficialMobolaji B. BakareOwner · (336) 558-4665
Enumeration DateJune 13, 2017
Last NPPES UpdateJuly 31, 20172 updates tracked since enumeration
✔ NPI 1295265221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 2005-01273
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3411 W WENDOVER AVE STE D, Greensboro, NC 27407

Other Names 1

Doing Business AsGate City Primary Care Center

Other Identifiers 1

Medicaid5902086NC

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

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)

Gate City Primary Care Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Gate City Primary Care Center, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1427786607
1980 LONG BRANCH CT
Kernersville, NC 27284
(434) 604-0983
✔ PECOS15 mi
Hospitalist
NPI 1437106887
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 718-8383
✔ PECOS✔ Accepts Medicare24 mi

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 of Waiver 34D2142529

Gate City Primary Care Center · Greensboro, NC
Active · expires Nov 20, 2026
CLIA Number34D2142529
Laboratory TypePhysician Office
Certificate Effective DateNovember 21, 2024
Certificate Expiration DateNovember 20, 2026
Laboratory DirectorMobolaji Bakare
Laboratory Phone(336) 579-2455
Laboratory LocationGate City Primary Care Center3411 West Wendover Avenue, Greensboro, NC 27407
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only 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 Mobolaji Babatope Bakare MD PC's NPI number?

The NPI number for Mobolaji Babatope Bakare MD PC is 1295265221. It was assigned to this organization in the NPPES registry on June 13, 2017. The provider is doing business as Gate City Primary Care Center.

Where is Mobolaji Babatope Bakare MD PC located?

Mobolaji Babatope Bakare MD PC is located at 3411 W Wendover Ave Ste D, Greensboro, NC 27407. The listed phone number is (336) 558-4665.

What is Mobolaji Babatope Bakare MD PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mobolaji Babatope Bakare MD PC enrolled in Medicare?

Yes. Mobolaji Babatope Bakare MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mobolaji Babatope Bakare MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Mobolaji Babatope Bakare MD PC, in Hospitalist and Nurse Practitioner. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mobolaji Babatope Bakare MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2142529) is associated with this NPI, valid through November 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mobolaji Babatope Bakare MD PC accept?

Health plans from AmeriHealth Caritas Next list Mobolaji Babatope Bakare MD PC 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 Mobolaji Babatope Bakare MD PC was last updated on July 31, 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.