Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Gate City Integrative Medical Clinic, PLLC

Organization Family Medicine Physician · NPI 1164071262

Gate City Integrative Medical Clinic, PLLC provides Family Medicine Physician services in Greensboro, North Carolina. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
7
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

806 Green Valley Rd Ste 200
Greensboro, NC 27408-7076
Phone: (336) 860-1514
Fax: (320) 238-7190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Public Health & General Preventive Medicine Physician Taxonomy 2083P0901X
Addiction Medicine (Psychiatry & Neurology) Physician Taxonomy 2084A0401X
Psychiatry Physician Taxonomy 2084P0800X
Home Health Agency Taxonomy 251E00000X
Health Service Clinic/Center Taxonomy 261QH0100X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1164071262
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angela Johnson — Chief Executive Officer · (336) 860-1514
NPI enumeratedSeptember 10, 2019
Last updated in NPPESSeptember 19, 2019
Mailing address806 Green Valley Rd Ste 200, Greensboro, NC 27408-7076

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