| Ardmore Family Practice P.a. | |
|
2805 Lyndhurst Ave Winston Salem NC 27103-4109 | |
| (336) 659-0076 | |
| (336) 659-0272 |
| Full Name | Ardmore Family Practice P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 2805 Lyndhurst Ave, Winston Salem, North Carolina |
| Authorized Official Name and Position | Debra H. Alford (PRACTICE MANAGER) |
| Authorized Official Contact | 3366590076 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ardmore Family Practice P.a. 2805 Lyndhurst Ave Winston Salem NC 27103-4109 Ph: (336) 659-0076 | Ardmore Family Practice P.a. 2805 Lyndhurst Ave Winston Salem NC 27103-4109 Ph: (336) 659-0076 |
| NPI Number | 1750342820 |
|---|---|
| Provider Enumeration Date | 03/29/2006 |
| Last Update Date | 08/20/2009 |
| Medicare PECOS PAC ID | 1759283211 |
|---|---|
| Medicare Enrollment ID | O20040123001046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750342820 | NPI | - | NPPES |
| 7902204 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Susan Marie Dipert Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245299262 PECOS PAC ID: 6305743626 Enrollment ID: I20100306000050 |
| Provider Name | Robert Dean Rosen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760477335 PECOS PAC ID: 9830091305 Enrollment ID: I20100817000258 |
| Provider Name | Amy Caroline Sapp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720073711 PECOS PAC ID: 6608068424 Enrollment ID: I20101012000445 |
| Provider Name | Caroline G Grandis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952634396 PECOS PAC ID: 4486846011 Enrollment ID: I20101014000241 |
| Provider Name | Eileen Margaret Tague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558713370 PECOS PAC ID: 5496096323 Enrollment ID: I20190403000053 |
| Provider Name | Stephanie Caudle Draker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013514454 PECOS PAC ID: 3678985124 Enrollment ID: I20201208000134 |
| Provider Name | Amanda Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396402806 PECOS PAC ID: 9133514599 Enrollment ID: I20220322000393 |
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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: 337-408-0797 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 | |
Piedmont Medical Specialist Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1381 Westgate Center Dr, Piedmont Medical Specialist, Winston Salem, NC 27103 Phone: 336-718-0480 Fax: 336-718-0484 |