GENERAL MEDICAL CLINIC, PA
NPI 1871522003
Clinic/Center - Primary Care in Greensboro, NC
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
Specialties & Licenses 6
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
General Medical Clinic, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to General Medical Clinic, PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NCFrequently 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.
Is General Medical Clinic, PA enrolled in Medicare?
Yes. General Medical Clinic, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through General Medical Clinic, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to General Medical Clinic, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# General Medical Clinic, Pa · NPI 1871522003
Primary Care organization in Greensboro, North Carolina. Organization record, active in the CMS NPPES registry since July 1, 2006.
## Identity
- **NPI:** 1871522003 (Entity type: Organization)
- **Enumerated:** July 1, 2006
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Tarshia Donnell, REGIONAL DIRECTOR
## Practice location
- **Address:** 2003 BOULEVARD ST STE C, Greensboro, NC 27407-4579
- **Phone:** (336) 633-0407 · **Fax:** (336) 633-0410
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 7, 2023
- **Other identifiers:** Medicaid 5902980 (NC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1871522003) · Data from the CMS NPPES public registry.