Heritage Wound Management Specialists PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

HERITAGE WOUND MANAGEMENT SPECIALISTS PLLC

Practice address

620 Dr Calvin Jones Hwy Ste 208
Wake Forest, NC 27587-3108

Phone

(919) 761-5678

NPI assigned

Nov 19, 2024

Last updated

Jan 26, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth Norton, PANPI 1497701239

Title

Owner

Phone

(919) 830-5568

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 5

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.

• Elizabeth Irene Norton, PA

  • Medical Physician Assistant
  • Wake Forest, NC
  • NPI 1497701239
  Medicare reassignment Authorized official
• Adrienne Leigh Anderson, APRN

  • Family Nurse Practitioner
  • Wake Forest, NC
  • NPI 1528874005
  Medicare reassignment NPD
• Brandilynn Freeman, FNP

  • Family Nurse Practitioner
  • Wake Forest, NC
  • NPI 1417324302
  Medicare reassignment NPD
• George Coupland Isaacs, M.D.

  • Surgery Physician
  • Wilson, NC
  • NPI 1497857973
  Medicare reassignment NPD
• Makenzie Whitley, DNP, FNP-C

  • Family Nurse Practitioner
  • Wake Forest, NC
  • NPI 1164378782
  NPD (past)

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737849600000",
    "number": "1144045659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 DR CALVIN JONES HWY STE 208",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 DR CALVIN JONES HWY STE 208",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873108",
            "telephone_number": "919-761-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE WOUND MANAGEMENT SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-19",
        "last_updated": "2025-01-26",
        "certification_date": "2025-01-26",
        "status": "A",
        "authorized_official_last_name": "NORTON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-830-5568",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Her Psychiatry Wellness
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• Heritage Counseling Services Inc.
• Heritage Eye Care, Inc
• Heritage Internal Medicine, PLLC
• Guadalupe Hernandez Mancilla
• Trinity Herring
• Hope Hickman, LCMHCA, NCC
• Dylan Elyse Hicks
• Kali Ann Hietpas, DPT

• Clinic/Center in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.