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: July 19, 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

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

The NPI number assigned to this healthcare provider is 1295265221, enumerated as an "organization" on June 13, 2017.

The provider is located at 3411 W WENDOVER AVE STE D GREENSBORO, NC 27407 and the phone number is (336) 558-4665.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: AmeriHealth Caritas Next, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.