Active NPI
Physicians Home Visits, PC
- Adult Medicine Physician
- Winston Salem, NC
National Provider Identifier
1083899009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- Legal business name
- PHYSICIANS HOME VISITS, PC
- Practice address
- 3069 Trenwest Dr
Ste 200
Winston Salem, NC 27103-3211 - Phone
- (336) 993-3146
- Fax
- (336) 992-3930
- NPI assigned
- Jan 9, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Henry F Tripp Jr., M.D.
- Title
- Director
- Phone
- (336) 993-3146
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | Primary |
Addresses
Primary practice location
3069 Trenwest Dr
Ste 200
Winston Salem, NC 27103-3211
Mailing address
3069 Trenwest Dr
Ste 200
Winston Salem, NC 27103-3211
Phone (336) 993-3146
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023C9 | Other | NC | BCBS |
| 5950484 | Medicaid | NC | |
| 34D1105236 | Other | NC | CLIA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Raleigh, NC
- NPI 1093811705
-
- Family Medicine Physician
- Winston Salem, NC
- NPI 1609845478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199836800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416096000000",
"number": "1083899009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3069 TRENWEST DR",
"address_2": "STE 200",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271033211",
"telephone_number": "336-993-3146",
"fax_number": "336-992-3930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3069 TRENWEST DR",
"address_2": "STE 200",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271033211",
"telephone_number": "336-993-3146",
"fax_number": "336-992-3930"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIANS HOME VISITS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-09",
"last_updated": "2014-11-16",
"status": "A",
"authorized_official_last_name": "TRIPP",
"authorized_official_first_name": "HENRY",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "336-993-3146",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "023C9",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5950484",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "34D1105236",
"state": "NC"
}
],
"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 Nov 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.