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TIMA WELLNESS PA
NPI 1609260942
Internal Medicine in Greensboro, NC

Active since March 25, 2015CLIA 34D2096166 · Microscopy
1591 YANCEYVILLE STREET, SUITE 200A, GREENSBORO, NC 27405(336) 907-3006(336) 663-8421 Get Directions Write a Review

NPPES record last updated: November 30, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 30, 2017, May 20, 2016 (2 updates tracked since 2016).

About Tima Wellness Pa NPPES

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

TIMA WELLNESS PA (NPI 1609260942) is a healthcare organization registered as an internal medicine in Greensboro, North Carolina and active in the NPI registry since March 2015. The organization holds a CLIA Microscopy certificate valid through May 17, 2027 and lists Byron Gladden, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1609260942
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameTIMA WELLNESS PA
Location Address1591 YANCEYVILLE STREET, SUITE 200AGreensboro, NC 27405-6941
Mailing Address1591 Yanceyville Street, Suite 200aGreensboro, NC 27405-6941 · (336) 907-3006 · Fax (336) 230-1761
Phone(336) 907-3006
Fax(336) 663-8421
Organization SubpartNo
Authorized OfficialByron GladdenPractice Manager · (336) 907-3006
Enumeration DateMarch 25, 2015
Last NPPES UpdateNovember 30, 20172 updates tracked since enumeration
✔ NPI 1609260942 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 · 95-01417
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.
1591 YANCEYVILLE STREET, Greensboro, NC 27405
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Other Identifiers 3

Medicaid8975633NC
Medicare PIN2219644ANC
Medicare UPING19903NC

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 for Provider-Performed Microscopy Procedures (PPMP) 34D2096166

Tima Wellness, PA · Greensboro, NC
Active · expires May 17, 2027
CLIA Number34D2096166
Laboratory TypePhysician Office
Certificate Effective DateMay 18, 2025
Certificate Expiration DateMay 17, 2027
Laboratory DirectorKimberly R. Shelton
Laboratory Phone(336) 663-8420
Laboratory LocationTima Wellness, PA1591 Yanceyville Street, Suite 200 A, Greensboro, NC 27405
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Tima Wellness PA's NPI number?

The NPI number for Tima Wellness PA is 1609260942. It was assigned to this organization in the NPPES registry on March 25, 2015.

Where is Tima Wellness PA located?

Tima Wellness PA is located at 1591 Yanceyville Street Suite 200A, Greensboro, NC 27405. The listed phone number is (336) 907-3006.

What is Tima Wellness PA's specialty?

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

Does Tima Wellness PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D2096166) is associated with this NPI, valid through May 17, 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 Tima Wellness PA was last updated on November 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.