Organization Active NPI

Advanced Medical Center PLLC

Doing business as Advanced Psychiatric Associates

  • Psychiatric/Mental Health Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1083434963
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ADVANCED MEDICAL CENTER PLLC
Doing business as
Advanced Psychiatric Associates
Practice address
8025 N Point Blvd Ste 140
Winston Salem, NC 27106-3753
Phone
(336) 331-0978
Fax
(336) 331-0979
NPI assigned
Oct 15, 2024
Last updated
Dec 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Justina Okonkwo, DNP, PMHNP-BC, FNP-CNPI 1194228205
Title
Owner
Phone
(336) 414-1214

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

8025 N Point Blvd Ste 140
Winston Salem, NC 27106-3753

Mailing address

PO Box 17365
Winston Salem, NC 27116-7365
Phone (336) 331-0978

Other names 1

  • Advanced Psychiatric Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241210000126 NC Part B Supplier - Clinic/Group Practice 4284160615 Receives reassigned benefits from 1 practitioner
Practice locations: Greensboro, NC; Winston Salem, NC

National Provider Directory

National Provider Directory

Locations

109 Muirs Chapel Rd
Ste 123
Greensboro, NC 27410
Phone (336) 331-0978

8025 N Point Blvd
Ste 140
Winston Salem, NC 27106
Phone (336) 331-0978

8025 N Point Blvd
Ste 217
Winston Salem, NC 27106
Phone (336) 331-0978

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1083434963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17365",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271167365",
            "telephone_number": "336-331-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 N POINT BLVD STE 140",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063753",
            "telephone_number": "336-331-0978",
            "fax_number": "336-331-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-15",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "OKONKWO",
        "authorized_official_first_name": "JUSTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-414-1214",
        "authorized_official_credential": "DNP, PMHNP-BC, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Psychiatric Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 12, 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.