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EAGLE INTERNAL MEDICINE AT TANNENBAUM
NPI 1457423907
Internal Medicine in Greensboro, NC

Active since November 13, 2006CLIA 34D1036729 · Waiver
301 E WENDOVER AVE, SUITE 200, GREENSBORO, NC 27401(336) 274-3241(336) 268-4444 Get Directions Write a Review

NPPES record last updated: September 24, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eagle Internal Medicine At Tannenbaum NPPES

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

EAGLE INTERNAL MEDICINE AT TANNENBAUM (NPI 1457423907) is a healthcare organization registered as an internal medicine in Greensboro, North Carolina and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through February 7, 2027 and lists Terri S. Jones, Director, Eagle Business Services, as its authorized official.

NPPES Registry Identity

NPI1457423907
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEAGLE PHYSICIANS AND ASSOCIATES PA
Location Address301 E WENDOVER AVE, SUITE 200Greensboro, NC 27401-1230
Mailing AddressPo Box 14883Greensboro, NC 27415-4883 · (336) 274-3241 · Fax (336) 268-4444
Phone(336) 274-3241
Fax(336) 268-4444
Organization SubpartYes
Authorized OfficialTerri S. JonesDirector, Eagle Business Services · (336) 268-3201
Enumeration DateNovember 13, 2006
Last NPPES UpdateSeptember 24, 2015
✔ NPI 1457423907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
Also ListedNurse PractitionerTaxonomy 363L00000X
301 E WENDOVER AVE, Greensboro, NC 27401
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Other Names 1

Doing Business AsEagle Internal Medicine At Tannenbaum

Other Identifiers 4

Medicare PIN2318442NC
Medicare PINCB9132NC
Other0134TNC · Bcbs Of Nc
Medicaid890134TNC

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

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 34D1036729

Eagle Internal Medicine At Tannenbaum · Greensboro, NC
Active · expires Feb 7, 2027
CLIA Number34D1036729
Laboratory TypePhysician Office
Certificate Effective DateFebruary 8, 2025
Certificate Expiration DateFebruary 7, 2027
Laboratory DirectorJeffrey S. Kerr
Laboratory Phone(336) 274-3241
Laboratory LocationEagle Internal Medicine At Tannenbaum301 E Wendover Avenue, Suite 200, Greensboro, NC 27401
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 20

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

DR. SHRUTI VIJAYA SIMHA M.D., M.P.H
Pediatrics
301 E WENDOVER AVE, STE 400
GREENSBORO, NC 27401
Guilford County (336) 832-3150
DENISE PEREZ-FIERY MD
Pediatrics
301 E WENDOVER AVE, STE 400
GREENSBORO, NC 27401
Guilford County (336) 832-3150
NICOLE C CHANDLER M.D.
Pediatrics
301 E WENDOVER AVE, STE 400
GREENSBORO, NC 27401
Guilford County (336) 832-3150
BRYAN K BARTLE M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
301 E WENDOVER AVE, SUITE 411
GREENSBORO, NC 27401
Guilford County (336) 832-3200
ANGELA JOLENE STANLEY MD
Pediatrics
301 E WENDOVER AVE, STE 400
GREENSBORO, NC 27401
Guilford County (336) 832-3150
LEWIS DEAN MITCHELL MD
Family Medicine
301 E WENDOVER AVE, SUITE 215
GREENSBORO, NC 27401
Guilford County (336) 379-1156
DR. SURESH NAGAPPAN M.D.
Pediatrics
301 E WENDOVER AVE, STE 400
GREENSBORO, NC 27401
Guilford County (336) 832-3150
DR. DONALD VINCENT HECK MD
Radiology (Diagnostic Radiology)
301 E WENDOVER AVE, SUITE 411
GREENSBORO, NC 27401
Guilford County (336) 832-3210

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 1457423907. It was assigned to this organization in the NPPES registry on November 13, 2006. The provider is doing business as Eagle Internal Medicine At Tannenbaum.

Where is Eagle Physicians And Associates PA located?

Eagle Physicians And Associates PA is located at 301 E Wendover Ave Suite 200, Greensboro, NC 27401. The listed phone number is (336) 274-3241.

What is Eagle Physicians And Associates PA's specialty?

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

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

Yes. A Certificate of Waiver (number 34D1036729) is associated with this NPI, valid through February 7, 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 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 10 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.