OrganizationActive
Greensboro Family Medicine PA
NPI 1104124155 · Internal Medicine Physician · Greensboro, NC
Provider details
- NPI number
- 1104124155
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Dewar, Physician Assistant(336) 790-0519
- License
- 001000092 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
104 W Northwood St
Suite a
Greensboro, NC 27401-1326
Phone: (336) 790-0519
Fax: (336) 691-8977
Street-level locationGet directions
Mailing address
104 W Northwood St
Greensboro, NC 27401-1326
Registry dates
- Enumerated
- 2011-02-28
- Last updated
- 2011-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.