Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gate City Integrative Medical Clinic, PLLC

Organization Family Medicine Physician · NPI 1164071262

Gate City Integrative Medical Clinic, PLLC is a Family Medicine Physician 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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