Octavia Buggs
Individual provider Active NPI Community Health Worker · Mocksville, NC
NPI 1093409641 · NPPES record last updated Jun 6, 2023
Key facts
- NPI
- 1093409641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 139 Morning Glory Cir Apt 204
Mocksville, NC 27028-4426 - Phone
- (336) 477-4741
- NPI assigned
- Jun 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H.O.M.E. Heartfelt Outreach Mentoring Enrichment | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
139 Morning Glory Cir Apt 204
Mocksville, NC 27028-4426
Mailing address
139 Morning Glory Cir Apt 204
Mocksville, NC 27028-4426
Phone (336) 477-4741
Other providers in Mocksville, NC
- Cheyenne Brown
- Leigh Michelle Bryant
- BT Heart and Vascular Center, PLLC
- Sara Buchanan
- Dalton Buckman
- Brianna Nicole Bumgarner
- Suzanne Lorraine Bussell
- Byers Enterprises, LLC
- Charles Brandon Byers
- Tishekka N Cain
All providers in Mocksville, NC · Community Health Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.