Immanuel Family Practice
NPI 1164487823 · Medical Specialty Clinic/Center · Greensboro, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Immanuel Family Practice is a Medical Specialty Clinic/Center organization in Greensboro, NC (NPI 1164487823).
Provider details
- NPI number
- 1164487823
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Betti Reese, President(336) 856-9996
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Registry dates
- Enumerated
- 2006-04-18
- Last updated
- 2007-12-10
Frequently asked questions
- What is Immanuel Family Practice's NPI number?
- Immanuel Family Practice's National Provider Identifier (NPI) is 1164487823, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Immanuel Family Practice?
- Immanuel Family Practice is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Immanuel Family Practice located?
- Immanuel Family Practice's practice location on file with NPPES is 5500 W Friendly Ave, Greensboro, NC 27410-4212.
- What is Immanuel Family Practice's phone number?
- The practice phone number listed in the NPPES registry for Immanuel Family Practice is (336) 856-9996.
- Does Immanuel Family Practice accept Medicare?
- Immanuel Family Practice is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Immanuel Family Practice?
- The authorized official listed on Immanuel Family Practice's NPPES record is Betti Reese, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Immanuel Family Practice's NPI active?
- Yes — Immanuel Family Practice's NPI (1164487823) is active in the NPPES registry as of the last update on 2007-12-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.