Active NPI
Highroad Pediatrics
Doing business as Winston Salem Pediatrics & Kernersville Pediatrics
- Pediatrics Physician
- Winston Salem, NC
National Provider Identifier
1154348597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- HIGHROAD PEDIATRICS
- Doing business as
- Winston Salem Pediatrics & Kernersville Pediatrics
- Practice address
- 2808 Maplewood Ave
Winston Salem, NC 27103-4138 - Phone
- (336) 765-9000
- Fax
- (336) 765-5702
- NPI assigned
- Jul 15, 2006
- 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
- Scott Eric Tolley
- Title
- Office Manager
- Phone
- (336) 765-9000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | NC | Primary |
Addresses
Primary practice location
2808 Maplewood Ave
Winston Salem, NC 27103-4138
Mailing address
2808 Maplewood Ave
Winston Salem, NC 27103-4138
Phone (336) 765-9000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5903822 | Medicaid | NC | |
| 5903823 | Medicaid | NC |
Other names 1
- Winston Salem Pediatrics & Kernersville Pediatrics
National Provider Directory
National Provider Directory- Tax ID family
- Highroad Pediatrics
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Kernersville Pediatrics
- Pediatrics Physician
- Kernersville, NC
- NPI 1144468083
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Winston Salem, NC
- NPI 1992904247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220400000000",
"number": "1154348597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2808 MAPLEWOOD AVE",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271034138",
"telephone_number": "336-765-9000",
"fax_number": "336-765-5702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2808 MAPLEWOOD AVE",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271034138",
"telephone_number": "336-765-9000",
"fax_number": "336-765-5702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGHROAD PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-15",
"last_updated": "2008-09-03",
"status": "A",
"authorized_official_last_name": "TOLLEY",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "ERIC",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "336-765-9000"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5903822",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5903823",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Winston Salem Pediatrics & Kernersville Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Winston Salem, NC
- Kayla Margaret Higgins, BCBA
- Tracy Anne Higgins, PA-C
- Kevin High, MD
- Karen Annette Highfill, WHCNP-BC, FNP-C
- Highland Oaks Dialysis Center of Wake Forest University (Highland Oaks Dialysis Center)
- Carolyn Anita Highsmith, RN,MSN-ANP, APRN, BC
- Kerri Anne Hilbourn
- Angela Sinclair Hilburn, CRNA
- Ashley Rose Hill, NP
- Deborah F Hill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.