Organization Active NPI

Physcians Eldercare

  • Gerontology Nurse Practitioner
  • Winston-Salem, NC
National Provider Identifier
1023061140
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
STUDENT Issued in NC
Legal business name
PHYSCIANS ELDERCARE
Practice address
3880 Vest Mill Rd
Winston-Salem, NC 27103-1323
Phone
(337) 991-9276
Fax
(336) 251-1116
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Teri Lynne Harmon
Title
Provider Specialist Services
Phone
(336) 245-5403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LG0600X STUDENT NC Primary

Addresses

Primary practice location

3880 Vest Mill Rd
Winston-Salem, NC 27103-1323

Mailing address

8022 Christmas CT
Charlotte, NC 28216-0700
Phone (704) 399-9576

National Provider Directory

National Provider Directory
Tax ID family
Pec Management Company LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3880 Vest Mill Rd
Winston Salem, NC 27103

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1023061140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8022 CHRISTMAS CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282160700",
            "telephone_number": "704-399-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 VEST MILL RD",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271031323",
            "telephone_number": "337-991-9276",
            "fax_number": "336-251-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSCIANS ELDERCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "TERI",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "PROVIDER SPECIALIST SERVICES",
        "authorized_official_telephone_number": "336-245-5403",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "STUDENT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston-Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.