NPIMap

Organization Active NPI

Physicians Eldercare PA

  • General Practice Physician
  • Durham, NC
National Provider Identifier
1023083268
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PHYSICIANS ELDERCARE PA
Practice address
5306 NC Highway 55 Ste 105
Durham, NC 27713-7812
Phone
(337) 991-9276
Fax
(337) 943-0846
NPI assigned
Feb 21, 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
Nicole Howard
Title
Sr VP of Administrative Services
Phone
(337) 408-0797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

5306 NC Highway 55 Ste 105
Durham, NC 27713-7812

Mailing address

5750 Johnston St Ste 205
Lafayette, LA 70503-5334
Phone (337) 408-0797

Other identifiers 4

IdentifierTypeStateIssuer
89012WFMedicaidNC
CH9289OtherRR MRC
012WFOtherNCBCBS
H140/45282OtherPARTNERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031113000745 NC Part B Supplier - Clinic/Group Practice 0648184705 Receives reassigned benefits from 405 practitioners
Practice locations: Winston Salem, NC; Monroe, NC; Mooresville, NC; Raleigh, NC; Rutherfordton, NC; Salisbury, NC; Sanford, NC; Thomasville, NC…

National Provider Directory

National Provider Directory

Locations

7449 Fair Oaks Dr
Clemmons, NC 27012
Phone (336) 747-1153

6401 Holder Rd
Clemmons, NC 27012
Phone (336) 766-2990

5306 NC Highway 55
Ste 205
Durham, NC 27713

5306 NC Highway 55
Ste 105
Durham, NC 27713
Phone (919) 457-1517

1310 Glenn Ave
Kannapolis, NC 28081
Phone (704) 932-0000

322 Nuway Cir
Lenoir, NC 28645
Phone (828) 754-8500

4510 Duraleigh Rd
Raleigh, NC 27612
Phone (919) 781-1993

714 Westover Dr
Sanford, NC 27330
Phone (919) 775-5404

458 Hwy 70 Sea Level
Sealevel, NC 28577
Phone (252) 225-1134

5680 Windy Hill Dr
Winston Salem, NC 27105
Phone (336) 744-1188

5100 Lansing Dr
Winston Salem, NC 27105
Phone (336) 661-0850

3880 Vest Mill Rd
Ste 100
Winston Salem, NC 27103
Phone (336) 251-1114

4692 Brownsboro Rd
Winston Salem, NC 27106
Phone (336) 251-1114

Practitioners & affiliated clinicians

Practitioners 467

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

View all 467

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1023083268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 JOHNSTON ST STE 205",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035334",
            "telephone_number": "337-408-0797",
            "fax_number": "337-943-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5306 NC HIGHWAY 55 STE 105",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277137812",
            "telephone_number": "337-991-9276",
            "fax_number": "337-943-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS ELDERCARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "SR VP OF ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "337-408-0797"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89012WF",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MRC",
            "identifier": "CH9289",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "012WF",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "H140/45282",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.