Highland Avenue Primary Care Clinic | |
650 Highland Ave Ste 120 Winston Salem NC 27101-4304 | |
(336) 718-4770 | |
(336) 718-4779 |
Full Name | Highland Avenue Primary Care Clinic |
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Speciality | Family Medicine |
Location | 650 Highland Ave Ste 120, Winston Salem, North Carolina |
Authorized Official Name and Position | Leea Jeanine Walton (RCS MANAGER) |
Authorized Official Contact | 7043166081 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Highland Avenue Primary Care Clinic Po Box 603582 Charlotte NC 28260-3582 Ph: () - | Highland Avenue Primary Care Clinic 650 Highland Ave Ste 120 Winston Salem NC 27101-4304 Ph: (336) 718-4770 |
NPI Number | 1730670951 |
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Provider Enumeration Date | 05/23/2018 |
Last Update Date | 07/12/2023 |
Medicare PECOS PAC ID | 4486908316 |
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Medicare Enrollment ID | O20181113001654 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730670951 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Carmen G Strickland |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659354207 PECOS PAC ID: 9537126776 Enrollment ID: I20041220000291 |
Provider Name | Lisa A Cassidy-vu |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093763351 PECOS PAC ID: 1951347921 Enrollment ID: I20050629000947 |
Provider Name | Angela Muller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013958115 PECOS PAC ID: 1951337724 Enrollment ID: I20080130000682 |
Provider Name | Richard W Lord |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346224854 PECOS PAC ID: 8921143462 Enrollment ID: I20100308000829 |
Provider Name | Charles R Clinch |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053395566 PECOS PAC ID: 4183769631 Enrollment ID: I20100308000855 |
Provider Name | Ann Hiott Barham |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336123751 PECOS PAC ID: 8224173794 Enrollment ID: I20100309000123 |
Provider Name | John G Spangler |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063496461 PECOS PAC ID: 6305971185 Enrollment ID: I20100318000394 |
Provider Name | Mark P Knudson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073597035 PECOS PAC ID: 3476689209 Enrollment ID: I20100331000142 |
Provider Name | Neil Leslie Sparks |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710113733 PECOS PAC ID: 0042444994 Enrollment ID: I20131008000403 |
Provider Name | Lourdes Cu Ramos |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568890705 PECOS PAC ID: 1052541562 Enrollment ID: I20140303000596 |
Provider Name | Keli B Jones |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124313051 PECOS PAC ID: 8628296746 Enrollment ID: I20140902000800 |
Provider Name | Kaitlyn Anne Watson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437596574 PECOS PAC ID: 7517197502 Enrollment ID: I20160719002361 |
Provider Name | Rachel Katherine Fesperman Woodruff |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154647519 PECOS PAC ID: 5597999235 Enrollment ID: I20170915001175 |
Provider Name | Elizabeth W Mumaw |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841605979 PECOS PAC ID: 9537465844 Enrollment ID: I20171113001180 |
Provider Name | Brett A Thomas |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497174817 PECOS PAC ID: 1951616507 Enrollment ID: I20180314002287 |
Provider Name | Loray A Blair Britt |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932191400 PECOS PAC ID: 0042262198 Enrollment ID: I20191113001699 |
Provider Name | Heather Elizabeth Strickland |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912591280 PECOS PAC ID: 3375950546 Enrollment ID: I20210406001195 |
Mccorkle Laboratory Enterprise Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 W 5th St Ste 800, Winston Salem, NC 27101 Phone: 336-800-5227 | |
North Carolina General Management Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3051 Waughtown St, Winston Salem, NC 27107 Phone: 336-726-5090 | |
Wake Forest University Health Sciences Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Physicians Eldercare Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4692 Brownsboro Rd, Winston Salem, NC 27106 Phone: 337-991-9276 Fax: 337-943-0846 | |
Atrium Health Wake Forest Baptist Family Medicine - Westbrook Plaza Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1665 Westbrook Plaza Dr, Winston Salem, NC 27103 Phone: 336-760-8380 Fax: 336-760-8388 | |
Preventative Wellness Solutions I Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3878 Oxford Station Way, Winston Salem, NC 27103 Phone: 336-517-0072 | |
Novant Health Forsyth Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Jonestown Rd, Winston Salem, NC 27104 Phone: 336-769-9515 Fax: 336-768-9082 |