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

Immanuel Family Practice

Organization Medical Specialty Clinic/Center · NPI 1164487823

Immanuel Family Practice is a Medical Specialty Clinic/Center in Greensboro, North Carolina. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

5500 W Friendly Ave Ste 201
Greensboro, NC 27410-4212
Phone: (336) 856-9996
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X

Record details

NPI number1164487823
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Betti Reese — President · (336) 856-9996
NPI enumeratedApril 18, 2006
Last updated in NPPESDecember 10, 2007
Mailing address5500 W Friendly Ave, Suite 201, Greensboro, NC 27410-4212

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