| Top Priority Care Services, Llc. | |
|
4401 Providence Ln Winston Salem NC 27106 | |
| (336) 896-1323 | |
| (336) 896-1327 |
| Full Name | Top Priority Care Services, Llc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4401 Providence Ln, Winston Salem, North Carolina |
| Authorized Official Name and Position | Sharon P Johnson (CEO) |
| Authorized Official Contact | 3368961323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Top Priority Care Services, Llc. 4401 Providence Ln Winston Salem NC 27106-3226 Ph: (336) 896-1323 | Top Priority Care Services, Llc. 4401 Providence Ln Winston Salem NC 27106 Ph: (336) 896-1323 |
| NPI Number | 1598959660 |
|---|---|
| Provider Enumeration Date | 08/31/2007 |
| Last Update Date | 08/22/2018 |
| Medicare PECOS PAC ID | 8527192475 |
|---|---|
| Medicare Enrollment ID | O20100814000240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598959660 | NPI | - | NPPES |
| 1598959660 | Medicaid | NC | |
| 8300513G | Medicaid | NC | |
| 8300513 | Medicaid | NC | |
| 8300513B | Medicaid | NC | |
| 8300513H | Medicaid | NC |
| Provider Name | Masoud Hejazi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932156056 PECOS PAC ID: 3173508546 Enrollment ID: I20040621000649 |
| Provider Name | Steve L Weston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629144159 PECOS PAC ID: 3072599166 Enrollment ID: I20040629000277 |
| Provider Name | Robyn R Bridges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841239589 PECOS PAC ID: 6002894417 Enrollment ID: I20040712001208 |
| Provider Name | John Conrad Withrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235538836 PECOS PAC ID: 7911221353 Enrollment ID: I20150113002055 |
| Provider Name | Rachel A Catron-felts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801292354 PECOS PAC ID: 1759642093 Enrollment ID: I20180228002092 |
| Provider Name | Sharon P Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508008038 PECOS PAC ID: 6709910656 Enrollment ID: I20190614002672 |
| Provider Name | Cemetrius Teouna Rolle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295117760 PECOS PAC ID: 5991031965 Enrollment ID: I20190729002765 |
| Provider Name | Caroline Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891289112 PECOS PAC ID: 7719360676 Enrollment ID: I20220810002892 |
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