MEDICARE: GUILFORD CHILD HEALTH INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	103T00000X	Psychologist	NC
2	103TB0200X	Cognitive & Behavioral Psychologist	NC
3	1041C0700X	Clinical Social Worker	NC
4	133NN1002X	Nutrition Education Nutritionist	NC
5	163WP0200X	Pediatric Registered Nurse	NC
6	170100000X	Ph.D. Medical Genetics	NC
7	363LF0000X	Family Nurse Practitioner	NC
8	363LP0200X	Pediatric Nurse Practitioner
9	364S00000X	Clinical Nurse Specialist	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255407185
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GUILFORD CHILD HEALTH INC

Provider Business Mailing Address
First Line	:	400 E COMMERCE AVE
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27260-5221
Country	:	US
Telephone Number	:	336-884-0224
Fax Number	:	336-884-3471

Provider Business Practice Location Address
First Line	:	433 W MEADOWVIEW ROAD
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27406-4316
Country	:	US
Telephone Number	:	336-370-9091
Fax Number	:	336-370-4922

Authorized Official
Title or Position	:	DIRECTOR OF FINANCE
Name	:	MS. CONSUELLA GIBSON
Credential	:
Telephone Number	:	336-884-0224

Provider Enumeration Date	:	11/24/2006
Last Update Date	:	09/11/2025

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Directions to “GUILFORD CHILD HEALTH INC ” Practice Location

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