Ford, Simpson, Lively & Rice Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

FORD, SIMPSON, LIVELY & RICE PEDIATRICS

Practice address

2909 Maplewood Ave
Winston Salem, NC 27103-4009

Phone

(336) 794-3380

Fax

(336) 794-3378

NPI assigned

Jun 22, 2006

Organization subpart

No

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

Authorized official

Name

Karen W Cagle

Title

Cheif Risk Management Officer

Phone

(336) 802-2406

Specialties & licenses 1

Addresses

Other identifiers 13

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1306882782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 MAPLEWOOD AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034009",
            "telephone_number": "336-794-3380",
            "fax_number": "336-794-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 MAPLEWOOD AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034009",
            "telephone_number": "336-794-3380",
            "fax_number": "336-794-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORD, SIMPSON, LIVELY & RICE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "CAGLE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHEIF RISK MANAGEMENT OFFICER",
        "authorized_official_telephone_number": "336-802-2406"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901759",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CC4243",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905488",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CB8658",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CF9200",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CC5472",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CD6614",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89015U1",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "020E1",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5909124",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CC4241",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CC4242",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CC6608",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lauren Ford, LCSW
• Kimberly Renee' Ford, LCMHC, LPC, LCAS-A
• Kristy Kester Ford, MD
• Millicent Booker Ford, MD
• Robert Ford Jr., M.D.
• Lovinia Page Foreman Abernethy, CRNA
• Arthur Foreman, MD
• Daniel Jordan Forest, M.D.
• Forever Hope, PLLC
• Michael S Forrest, LCSW

• Pediatrics Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.