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GREENSBORO COLLEGE SPORTS MEDICINE
NPI 1689305245
Family Medicine - Sports Medicine in Greensboro, NC

Active since June 23, 2022CLIA 34D0666778 · Microscopy
815 W MARKET ST, GREENSBORO, NC 27401(972) 367-4845(972) 367-3451 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Greensboro College Sports Medicine NPPES

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

GREENSBORO COLLEGE SPORTS MEDICINE (NPI 1689305245) is a healthcare organization registered as a sports medicine in Greensboro, North Carolina and active in the NPI registry since June 2022. The organization holds a CLIA Microscopy certificate valid through September 30, 2026 and lists Mouzon Bass, Administrator/agent, as its authorized official.

NPPES Registry Identity

NPI1689305245
Entity TypeOrganization
Primary Taxonomy207QS0010X
Legal Business NameGREENSBORO COLLEGE INC.,
Location Address815 W MARKET STGreensboro, NC 27401-1823
Mailing Address15305 Dallas Pkwy Ste 800Addison, TX 75001-6415 · (972) 367-4845
Phone(972) 367-4845
Fax(972) 367-3451
Organization SubpartNo
Authorized OfficialMouzon BassAdministrator/agent · (972) 367-4845
Enumeration DateJune 23, 2022
NPPES CertifiedJune 23, 2022
✔ NPI 1689305245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
815 W MARKET ST, Greensboro, NC 27401
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Other Names 1

Doing Business AsGreensboro College Sports Medicine

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 for Provider-Performed Microscopy Procedures (PPMP) 34D0666778

Greensboro College Student Health Center · Greensboro, NC
Active · expires Sep 30, 2026
CLIA Number34D0666778
Laboratory TypeSchool/Student Health Service
Certificate Effective DateOctober 1, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorRobert Doolittle MD
Laboratory Phone(910) 272-7102
Laboratory LocationGreensboro College Student Health Center815 W Market St, Greensboro, NC 27401
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.

Other Providers at the Same Location NPPES 12

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

MR. ROBERT S. CHARLES-LISCOMBE ATC
Specialist/Technologist (Athletic Trainer)
815 W MARKET ST, DIVISION OF KINESIOLOGY
GREENSBORO, NC 27401
Guilford County (336) 272-7102
MEGAN WELSHKO ATC
Specialist/Technologist (Athletic Trainer)
815 W MARKET ST
GREENSBORO, NC 27401
Guilford County (336) 272-7102
KOREY SHANIA BUNAL LAT, ATC
Specialist/Technologist (Athletic Trainer)
815 W MARKET ST
GREENSBORO, NC 27401
Guilford County (336) 272-7102
GREGORY EBEL MSAT, LAT, ATC, EMT
Specialist/Technologist (Athletic Trainer)
815 W MARKET ST, CAMPBELL ATHLETICS CENTER
GREENSBORO, NC 27401
Guilford County (336) 272-7102
MR. EDWARD H EAVES ATC, CSCS
Specialist/Technologist (Athletic Trainer)
815 W MARKET ST
GREENSBORO, NC 27401
Guilford County (336) 272-7102
VIRGINIA KYLE JOHNS MS, LAT, ATC
Specialist/Technologist (Athletic Trainer)
815 W MARKET ST
GREENSBORO, NC 27401
Guilford County (336) 272-7102
GREGORY M TOZZI LAT, ATC
Specialist/Technologist (Athletic Trainer)
815 W MARKET ST
GREENSBORO, NC 27401
Guilford County (336) 272-7102
MS. ABIGAIL SARAH CHOPELAS
Specialist/Technologist (Athletic Trainer)
815 W MARKET ST
GREENSBORO, NC 27401
Guilford County (336) 272-7102

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 Greensboro College Inc.,'s NPI number?

The NPI number for Greensboro College Inc., is 1689305245. It was assigned to this organization in the NPPES registry on June 23, 2022. The provider is doing business as Greensboro College Sports Medicine.

Where is Greensboro College Inc., located?

Greensboro College Inc., is located at 815 W Market St, Greensboro, NC 27401. The listed phone number is (972) 367-4845.

What is Greensboro College Inc.,'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Does Greensboro College Inc., hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D0666778) is associated with this NPI, valid through September 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Greensboro College Inc., was last updated on June 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.