Elizabeth Fondow is a Medical Physician Assistant practicing in Greensboro, North Carolina. The National Provider Identifier (NPI) is #1386524700, which was assigned on September 5, 2025, and the registration record was last updated on September 5, 2025. The practitioner's main practice location is at 1121 N Church St, Greensboro, NC 27401-1007; the contact telephone number is 3362077005. The primary taxonomy of Elizabeth Fondow is Medical Physician Assistant (363AM0700X), with specialization in Medical. Elizabeth Fondow is licensed to practice in the state of North Carolina.
| NPI | 1386524700 |
| Entity Type | Individual |
| Provider Name | ELIZABETH FONDOW |
| Gender | Female |
| Credential | PA-C |
| Practice Address |
1121 N Church St Greensboro NC 27401-1007 |
| Practice Telephone | 3362077005 |
| Mailing Address |
1121 N Church St Greensboro NC 27401-1007 |
| Mailing Telephone | 3362077005 |
| Certification Date | 2025-09-05 |
| Enumeration Date | 2025-09-05 |
| Last Update Date | 2025-09-05 |
| Is Sole Proprietor | N |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 363AM0700X | Physician Assistant | Medical | NC |
| Code | 363AM0700X |
| Taxonomy | Medical Physician Assistant |
| Classification | Physician Assistant |
| Specialization | Medical |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: Definition to come... |
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|---|---|---|---|
| Darcy Lee Mejia | 907 W Lancaster Blvd, Lancaster, CA 93534-2305 | Medical Physician Assistant | 2025-09-05 |
| David Gabehart | 3301 Matlock Rd, Arlington, TX 76015-2908 | Medical Physician Assistant | 2025-09-04 |
| Nicklas Hitchens | 505 N Clippert St, Lansing, MI 48912-4701 | Medical Physician Assistant | 2025-09-03 |
| Sophie Nash Messinger | 445 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2990 | Medical Physician Assistant | 2025-09-04 |
| Margaret Westbrook Jackson | 6615 Perkins Rd, Baton Rouge, LA 70808-4261 | Medical Physician Assistant | 2025-09-04 |
| Izabella Shea Abookire | 2525 Court Dr, Gastonia, NC 28054-2140 | Medical Physician Assistant | 2025-09-04 |
| Christopher Tracy Mendez II | 6928 Evans St, Palmdale, CA 93552-4128 | Medical Physician Assistant | 2025-09-05 |
| Kyle Harrison Maloney | 26 Jackson Pl, Massapequa, NY 11758-7810 | Medical Physician Assistant | 2025-09-04 |
| Herminio Pereira Jr. | 479 Av Tte Cesar Luis Gonzalez, San Juan, PR 00918 | Medical Physician Assistant | 2025-09-04 |
| Lauren Carey | 4401 Penn Ave, Pittsburgh, PA 15224-1334 | Medical Physician Assistant | 2025-09-05 |
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| Street Address |
1121 N CHURCH ST |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27401-1007 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Gabrielle Simone Dufour | 1121 N Church St, Greensboro, NC 27401-1007 | Student in an Organized Health Care Education/Training Program | 2025-06-25 |
| Maria Sergeyevna Withrow | 1121 N Church St, Greensboro, NC 27401-1007 | Registered Nurse | 2024-06-24 |
| Lauryn Brown | 1121 N Church St, Greensboro, NC 27401-1007 | Women's Health Nurse Practitioner | 2025-09-02 |
| Briana Maddox | 1121 N Church St, Greensboro, NC 27401-1007 | Doula | 2025-04-28 |
| Megan Lloyd | 1121 N Church St, Greensboro, NC 27401-1007 | Physician Assistant | 2025-05-16 |
| Nataliya Hristova Malinova | 1121 N Church St, Greensboro, NC 27401-1007 | Certified Registered Nurse Anesthetist | 2012-09-26 |
| Collin Fisher Hinnant | 1121 N Church St, Greensboro, NC 27401-1007 | Physician Assistant | 2025-02-24 |
| Rodericks Fobbs | 1121 N Church St, Greensboro, NC 27401-1007 | Pharmacist | 2025-07-28 |
| Caroline Denise Killmon | 1121 N Church St, Greensboro, NC 27401-2740 | Registered Nurse | 2019-09-05 |
| Jonathan Calvin Gilliam | 1121 N Church St, Greensboro, NC 27401-1007 | Physician Assistant | 2024-11-07 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Amelia Grace Bishop | 1125 N Church St, Greensboro, NC 27401-1007 | Student in an Organized Health Care Education/Training Program | 2025-05-05 |
| David Joseph Merrell | 1125 N Church St, Greensboro, NC 27401-1007 | Family Medicine Physician | 2012-05-30 |
| Virali Bhagat | 1125 N Church St, Greensboro, NC 27401-1007 | Student in an Organized Health Care Education/Training Program | 2025-04-18 |
| Amanda Jean Nemecek | 1125 N Church St, Greensboro, NC 27401-1007 | Student in an Organized Health Care Education/Training Program | 2025-04-11 |
| Todd Michael Dunaway | 1123 N Church St, Greensboro, NC 27401-1007 | Family Medicine Physician | 2022-06-07 |
| Kellner Leigh Pruett | 1125 N Church St, Greensboro, NC 27401-1007 | Family Medicine Physician | 2017-05-18 |
| Stephanie Christen Pritchett Peterson · Stephanie Christian Pritchett | 1123 N Church St, Greensboro, NC 27401-1007 | Medical Physician Assistant | 2015-06-01 |
| Solomon Blake Yanuck | 1125 N Church St, Greensboro, NC 27401-1007 | Student in an Organized Health Care Education/Training Program | 2025-04-09 |
| Sara Majeed | 1125 N Church St, Greensboro, NC 27401-1007 | Student in an Organized Health Care Education/Training Program | 2025-04-08 |
| Reagan Treadwell Smucker | 1125 N Church St, Greensboro, NC 27401-1007 | Student in an Organized Health Care Education/Training Program | 2025-04-10 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Phoebe Um Chun | 1200 N Elm St, Greensboro, NC 27401-1004 | Internal Medicine Physician | 2022-04-26 |
| Elliott Watson Lyles | 1200 N Elm St, Greensboro, NC 27401-1004 | Student in an Organized Health Care Education/Training Program | 2025-05-07 |
| Shannon Micheal Blanton | 1200 N Elm St, Greensboro, NC 27401-1004 | Certified Registered Nurse Anesthetist | 2009-09-24 |
| Caitlin Elizabeth Poore | 1200 N Elm St, Greensboro, NC 27401-1004 | Physician Assistant | 2025-01-22 |
| Kori S Siler | 315 Spring Garden St, Uint 1-D, Greensboroo, NC 27401 | Professional Counselor | 2025-05-21 |
| Kaelyn Nicole Phillips | 823 N Elm St., Greensboro, NC 27401 | Behavior Technician | 2025-09-05 |
| Alyssa Brower White | 1220 Magnolia St., Greensboro, NC 27401 | Family Nurse Practitioner | 2024-06-04 |
| Joshua Scott Bundy | 1200 N Elm St, Greensboro, NC 27401-1004 | Physician Assistant | 2025-03-26 |
| Colter Cashion | 1200 N Elm St, Greensboro, NC 27401-1004 | Family Medicine Physician | 2022-06-30 |
| Remarkable Living, LLC | 2109 Edmond Dr., Greensboro, NC 27401 | Case Manager/Care Coordinator | 2025-06-17 |
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| Elizabeth Catherine Conti · Elizabeth Price | 1515 Holcombe Blvd, Houston, TX 77030-4000 | Clinical Psychologist | 2016-10-27 |
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| Elizabeth Beckner · Elizabeth Anne Johnson | 1585 Woodlake Dr, Suite 214, Chesterfield, MO 63017-5740 | Physical Therapist | 2011-07-21 |
| Elizabeth A Jansen · Elizabeth Anne Schultz | 4610 Brainerd Rd, Chattanooga, TN 37411-3835 | Anesthesiology Physician | 2009-06-29 |
| Elizabeth Schacht · Jenny Elizabeth Diaz Pardo | 909 Fulton St Se, Minneapolis, MN 55455-4800 | Critical Care Medicine (Anesthesiology) Physician | 2007-06-04 |
| Elizabeth Irene Hediger · Elizabeth Schandoney | 21 E State St, Columbus, OH 43215-4281 | Social Worker | 2018-09-03 |
| Elizabeth Naughton · Elizabeth Alexandra Riggin | 200 Springs Rd, Bedford, MA 01730-1198 | Clinical Social Worker | 2015-01-15 |
| Rachael Elizabeth Carter · Rachel Elizabeth Farrell | 4100 Park Forest Dr Ste 208, Traverse City, MI 49684-7306 | Physician Assistant | 2018-02-08 |
| Elizabeth Aneal Dosch · Elizabeth Secrest | 700 Mechem Dr, Ruidoso, NM 88345-6900 | Optometrist | 2019-06-28 |
| Elizabeth Margery Pelletier · Elizabeth M Benson | 1140 E Michigan Ave Ste 300, Lansing, MI 48912-1806 | Physician Assistant | 2006-09-08 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |