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NPI 1336599547ActiveOrganization· Nurse Practitioner, Primary Care· Greensboro, NC
Nurse Practitioner, Primary Care in Greensboro, North Carolina, registered in NPPES in June 2016. The authorized official on file is Monica Dianne Zellous, Practice Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1336599547 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 18, 2016 |
| Last updated in NPPES | Jul 12, 2024 |
| Certified by provider | Jul 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
| Clinic/Center, Health Services | 261QH0100X | 5004483 | NC |
| Clinic/Center, Health Services | 261QH0100X | 5006433 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NC) |
|---|
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