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

Greensboro Children's Doctor, PA

Organization Pediatrics Physician · NPI 1275523003

Greensboro Children's Doctor, PA provides Pediatrics Physician services in Greensboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2005.

Licensed in
NC
In the registry since
2005
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

515 College Rd Ste 11
Greensboro, NC 27410-5150
Phone: (336) 852-9630
Fax: (336) 852-9665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 27124 (NC)

Record details

NPI number1275523003
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Boette — President · (336) 852-9630
NPI enumeratedOctober 24, 2005
Last updated in NPPESAugust 22, 2020
Mailing address515 College Road, Suite 11, Greensboro, NC 27410-5150

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