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GENERAL MEDICAL CLINIC, PA
NPI 1871522003
Clinic/Center - Primary Care in Greensboro, NC

Active since July 01, 2006CLIA 34D2223819 · Waiver
2003 BOULEVARD ST STE C, GREENSBORO, NC 27407(336) 633-0407(336) 633-0410 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About General Medical Clinic, Pa NPPES

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

GENERAL MEDICAL CLINIC, PA (NPI 1871522003) is a healthcare organization registered as a primary care in Greensboro, North Carolina and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through May 9, 2027, maintains a secondary practice location in Asheboro, and lists Tarshia Donnell, Regional Director, as its authorized official.

NPPES Registry Identity

NPI1871522003
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGENERAL MEDICAL CLINIC, PA
Location Address2003 BOULEVARD ST STE CGreensboro, NC 27407-4579
Mailing AddressPo Box 788Greensboro, NC 27402-0788 · (336) 301-4264 · Fax (336) 633-0407
Phone(336) 633-0407
Fax(336) 633-0410
Organization SubpartNo
Authorized OfficialTarshia DonnellRegional Director · (336) 301-4264
Enumeration DateJuly 1, 2006
Last NPPES UpdateDecember 7, 2023
NPPES CertifiedDecember 7, 2023
✔ NPI 1871522003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NC · 9700286
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
2003 BOULEVARD ST STE C, Greensboro, NC 27407
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Secondary Practice Location 1

Location 1230 Foust StAsheboro, NC 27203-5404 · Phone (336) 633-0407 · Fax (336) 633-0410

Other Identifiers 1

Medicaid5902980NC

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 34D2223819

General Medical Clinic, PA · Asheboro, NC
Active · expires May 9, 2027
CLIA Number34D2223819
Laboratory TypePhysician Office
Certificate Effective DateMay 10, 2025
Certificate Expiration DateMay 9, 2027
Laboratory DirectorDwight M. Williams
Laboratory Phone(336) 633-0704
Laboratory LocationGeneral Medical Clinic, PA230 Foust Street, Asheboro, NC 27203
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

FUTUREMED EVENING CLINIC PLLC
Clinic/Center (Primary Care)
2003 BOULEVARD ST STE C
GREENSBORO, NC 27407
Guilford County (336) 579-8328
MICHAELLA WALTON
Social Worker (Clinical)
2003 BOULEVARD ST STE C
GREENSBORO, NC 27407
Guilford County (336) 339-6747

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 General Medical Clinic, PA's NPI number?

The NPI number for General Medical Clinic, PA is 1871522003. It was assigned to this organization in the NPPES registry on July 1, 2006.

Where is General Medical Clinic, PA located?

General Medical Clinic, PA is located at 2003 Boulevard St Ste C, Greensboro, NC 27407. The listed phone number is (336) 633-0407.

What is General Medical Clinic, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does General Medical Clinic, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2223819) is associated with this NPI, valid through May 9, 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 General Medical Clinic, PA was last updated on December 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.