NPIMap

Organization Active NPI

W Scott Moore Et Al PTR

Doing business as Nephrology Associates, PLLC

  • Nephrology Physician
  • Winston Salem, NC
National Provider Identifier
1275580854
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
61281 Issued in NC
Legal business name
W SCOTT MOORE ET AL PTR
Doing business as
Nephrology Associates, PLLC
Nephrology Associaties PLLC
Practice address
730 Highland Oaks Drive
Suite 201
Winston Salem, NC 27103-7108
Phone
(336) 768-2425
Fax
(336) 768-4915
NPI assigned
May 28, 2006
Last updated
Mar 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Betsy Robbins Parrish
Title
Office Manger
Phone
(336) 245-6306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 61281 NC Primary

Addresses

Primary practice location

730 Highland Oaks Drive
Suite 201
Winston Salem, NC 27103-7108

Mailing address

730 Highland Oaks Drive
Suite 201
Winston Salem, NC 27103-7108
Phone (336) 768-2425

Other identifiers 1

IdentifierTypeStateIssuer
8902199MedicaidNC

Other names 2

  • Nephrology Associates, PLLC Doing business as
  • Nephrology Associaties PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040616000841 NC Part B Supplier - Clinic/Group Practice 2365426483 Receives reassigned benefits from 13 practitioners
Practice locations: Winston Salem, NC; Thomasville, NC; Lexington, NC

National Provider Directory

National Provider Directory
Tax ID family
Nephrology Associates3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

140 Moore Rd
King, NC 27021
Phone (336) 985-3531

190 Interstate Dr
Mocksville, NC 27028
Phone (336) 753-1210

1280 Newsome St
Mount Airy, NC 27030
Phone (336) 789-4045

2705 Boulder Park Ct
Winston Salem, NC 27101
Phone (229) 387-3527

655 Cotton St
Winston Salem, NC 27101
Phone (336) 721-1360

225 Washington St
Yadkinville, NC 27055
Phone (336) 677-1182

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1275580854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 HIGHLAND OAKS DRIVE",
            "address_2": "SUITE 201",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271037108",
            "telephone_number": "336-768-2425",
            "fax_number": "336-768-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 HIGHLAND OAKS DRIVE",
            "address_2": "SUITE 201",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271037108",
            "telephone_number": "336-768-2425",
            "fax_number": "336-768-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W SCOTT MOORE ET AL PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "PARRISH",
        "authorized_official_first_name": "BETSY",
        "authorized_official_middle_name": "ROBBINS",
        "authorized_official_title_or_position": "OFFICE MANGER",
        "authorized_official_telephone_number": "336-245-6306"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "61281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902199",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nephrology Associates, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nephrology Associates, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nephrology Associaties PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 14, 2024; 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.