| Woundswift, LLC | |
|
5540 Centerview Dr Ste 204 Raleigh NC 27606-8012 | |
| (704) 221-2320 | |
| Not Available |
| Full Name | Woundswift, LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 5540 Centerview Dr Ste 204, Raleigh, North Carolina |
| Authorized Official Name and Position | Casey James Baucom (CEO) |
| Authorized Official Contact | 7042212320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Woundswift, LLC 5540 Centerview Dr Ste 204 Raleigh NC 27606-8012 Ph: (704) 221-2320 | Woundswift, LLC 5540 Centerview Dr Ste 204 Raleigh NC 27606-8012 Ph: (704) 221-2320 |
| NPI Number | 1073380515 |
|---|---|
| Provider Enumeration Date | 12/05/2023 |
| Last Update Date | 02/06/2024 |
| Certification Date | 02/06/2024 |
| Medicare PECOS PAC ID | 4486099801 |
|---|---|
| Medicare Enrollment ID | O20240226001244 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073380515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Holly Layman Bernardini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205883113 PECOS PAC ID: 4183689656 Enrollment ID: I20041123001027 |
| Provider Name | David E Strom |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609883511 PECOS PAC ID: 6204801624 Enrollment ID: I20100315000571 |
| Provider Name | Heather Dyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528500444 PECOS PAC ID: 3072894096 Enrollment ID: I20170106000664 |
| Provider Name | Kara Waldrop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326605759 PECOS PAC ID: 8123356912 Enrollment ID: I20190816002572 |
| Provider Name | Madison Lee Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316581135 PECOS PAC ID: 4981038189 Enrollment ID: I20201020000438 |
| Provider Name | Andrew P Harkins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407442957 PECOS PAC ID: 7416364310 Enrollment ID: I20210319001666 |
| Provider Name | Carrie Elizabeth Avery Burleson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306316179 PECOS PAC ID: 7113266362 Enrollment ID: I20211220000067 |
| Provider Name | Ellen Dunn Landreth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548966500 PECOS PAC ID: 9335599869 Enrollment ID: I20231226001756 |
| Provider Name | Paige Lee Evans |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801578976 PECOS PAC ID: 2567814403 Enrollment ID: I20240117000456 |
| Provider Name | Elliana Juliet Yeager |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639916810 PECOS PAC ID: 3971036419 Enrollment ID: I20241023001085 |
| Provider Name | Lauren Harkins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326728247 PECOS PAC ID: 7113451030 Enrollment ID: I20241114000304 |
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