Winecoff Family Physicians PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9700708 Issued in NC

Legal business name

WINECOFF FAMILY PHYSICIANS PLLC

Practice address

304 Winecoff School Rd
Concord, NC 28027

Phone

(704) 262-7901

Fax

(704) 262-7902

NPI assigned

Apr 20, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. J Suzette Perry, MD

Title

Physician Owner

Phone

(704) 262-7901

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Suzette Perry, MD

  • Family Medicine Physician
  • Concord, NC
  • NPI 1952341042
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326003393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 WINECOFF SCHOOL RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "28027",
            "telephone_number": "704-262-7901",
            "fax_number": "704-262-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 WINECOFF SCHOOL RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "28027",
            "telephone_number": "704-262-7901",
            "fax_number": "704-262-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINECOFF FAMILY PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "SUZETTE",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "704-262-7901",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9700708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891068R",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1068R",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sondra Wilson
• Stacy-Ann Nicole Wilson, RT
• Taylor Wilson
• Tiffany Danielle Wilson, PMHNP-BC
• Victoria Wilson
• Winecoff Family Practice
• Winecoff Family Practice PLLC
• Beth Winkley
• Camille Bridgette Winstead, AGNP
• Madisen Blaire Wirtel, COTA/L

• Family Medicine Physician in Concord, NC
• Providers in Concord, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.