Henry Franklin Tripp Jr., M.D.
Individual provider Active NPI Geriatric Medicine (Family Medicine) Physician · Winston Salem, NC
NPI 1104829142 · NPPES record last updated Oct 8, 2020
Key facts
- NPI
- 1104829142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Medicine (Family Medicine) Physician 207QG0300X
- License
- 32185 (NC)
- Practice address
- 3734 Reynolda Rd
Winston Salem, NC 27106-2240 - Phone
- (336) 664-0333
- Fax
- (336) 664-0447
- NPI assigned
- May 23, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Duke University School of Medicine, 1985
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Eventus Wholehealth PLLC
Eventus WH Southeast, LLC
Practice addresses (Care Compare)
101 Cabarrus Ave E
Suite 200
Concord, NC 28025-3781
Phone (855) 743-2247
212 S Tryon St
Suite 1000
Charlotte, NC 28281-0006
Phone (855) 743-2247
Hospital & facility affiliations
- Centerwell Home Health
- Authoracare Collective
- Pruitthealth Hospice - Rocky Mount
- Hospice of the Piedmont Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050120001052 | NC | Practitioner - Family Practice |
4587613179 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32185 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eventus WH PLLC Care, LLC | Current |
Accepting new patients | |
| Eventus Wholehealth Aco LLC | Geriatric Medicine | Current |
Accepting new patients |
| Eventus Wholehealth, PLLC | Internal Medicine | Current |
Accepting new patients |
| Eventus WH Southeast, LLC | Geriatric Medicine | Current |
Accepting new patients |
| Doctors Home Visits of the Triad, PC | Past |
Accepting new patients |
Locations
2810 Coliseum Centre Dr
Ste 120
Charlotte, NC 28217
212 S Tryon St
Ste 1000
Charlotte, NC 28281
Phone (512) 575-8028
2511 Old Cornwallis Rd
Ste 200
Durham, NC 27713
Phone (844) 932-5700
160 Mine Lake Ct
#200
Raleigh, NC 27615
Phone (404) 805-4288
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 32185 | NC | Yes |
| Internal Medicine Physician | 207R00000X | 32185 | NC | |
| Surgery Physician | 208600000X | 32185 | NC |
Addresses
Primary practice location
3734 Reynolda Rd
Winston Salem, NC 27106-2240
Mailing address
3734 Reynolda Rd
Winston Salem, NC 27106-2240
Phone (336) 664-0333
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891231R | Medicaid | NC | |
| 1231R | Other | NC | BCBS |
NPI Registry JSON
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602115200000",
"number": "1104829142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3734 REYNOLDA RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271062240",
"telephone_number": "336-664-0333",
"fax_number": "336-992-3930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3734 REYNOLDA RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271062240",
"telephone_number": "336-664-0333",
"fax_number": "336-664-0447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIPP",
"first_name": "HENRY",
"middle_name": "FRANKLIN",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2020-10-08",
"certification_date": "2020-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "NC",
"license": "32185",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "32185",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "32185",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891231R",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1231R",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
- Trinity Place Rising
- Pierre L Triozzi
- Andrea Davis Triplett
- Heather Triplett
- Kelly Triplett
- Lauren Tripp
- James Alvin Trippe
- Triumph LLC
- Triumph LLC
- Triumph LLC
All providers in Winston Salem, NC · Geriatric Medicine (Family Medicine) Physician 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 Oct 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.