DR. JOHN EASTER WIMMER MD
NPI 1972547305
Pediatrics - Neonatal-Perinatal Medicine in Greensboro, NC

Active since June 15, 2006PECOS Enrolled
628 GREEN VALLEY RD, SUITE 210, GREENSBORO, NC 27408(336) 478-1016(336) 851-1737 Get Directions Write a Review

NPPES record last updated: December 14, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John Easter Wimmer Md NPPES

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

DR. JOHN EASTER WIMMER MD (NPI 1972547305) is an individual neonatal-perinatal medicine provider in Greensboro, North Carolina, licensed in North Carolina (25465) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972547305
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. JOHN EASTER WIMMERCredential: MD
Location Address628 GREEN VALLEY RD, SUITE 210Greensboro, NC 27408-7730
Mailing Address628 Green Valley Rd, Suite 210Greensboro, NC 27408-7730 · (336) 478-1016 · Fax (336) 851-1737
Fax(336) 851-1737
Sole ProprietorNo
Enumeration DateJune 15, 2006
Last NPPES UpdateDecember 14, 2011
NPI 1972547305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License Licensed in NC · 25465
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License 25465 (NC)
628 GREEN VALLEY RD, Greensboro, NC 27408

Other Identifiers 5

Medicaid8988511NC
Other5150034NC · Aetna
Other88511NC · Bcbs Nc
Medicare UPIND92748
OtherC5375NC · Medcost

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. John Easter Wimmer Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

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

Pediatrics (Neonatal-Perinatal Medicine)
628 GREEN VALLEY RD, SUITE 210
GREENSBORO, NC 27408
Pediatrics (Neonatal-Perinatal Medicine)
628 GREEN VALLEY RD, SUITE 210
GREENSBORO, NC 27408
Physician Assistant
628 GREEN VALLEY RD, SUITE 408
GREENSBORO, NC 27408
Pediatrics (Neonatal-Perinatal Medicine)
628 GREEN VALLEY RD, SUITE 210
GREENSBORO, NC 27408
Pediatrics (Neonatal-Perinatal Medicine)
628 GREEN VALLEY RD, SUITE 210
GREENSBORO, NC 27408
Nurse Practitioner (Neonatal)
628 GREEN VALLEY RD, SUITE 210
GREENSBORO, NC 27408
Pediatrics (Neonatal-Perinatal Medicine)
628 GREEN VALLEY RD, SUITE 210
GREENSBORO, NC 27408
Pediatrics (Neonatal-Perinatal Medicine)
628 GREEN VALLEY RD, SUITE 210
GREENSBORO, NC 27408

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 John Wimmer's NPI number?

The NPI number for John Wimmer is 1972547305. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is John Wimmer located?

John Wimmer practices at 628 Green Valley Rd Suite 210, Greensboro, NC 27408. The listed phone number is (336) 478-1016.

What is John Wimmer's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is John Wimmer enrolled in Medicare?

Yes. John Wimmer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Wimmer was last updated on December 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.