NPIMap

Organization Active NPI

Performance Recovery, Inc

  • Community/Behavioral Health Agency
  • Kernersville, NC
National Provider Identifier
1366876559
Registry record updated Aug 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PERFORMANCE RECOVERY, INC
Practice address
6105 Habersham Dr
Kernersville, NC 27284-6317
Phone
(336) 423-8740
NPI assigned
Aug 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2013

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

Authorized official

Name
Mr. Larry Wendell Coplin Jr., LCAS
Title
Owner
Phone
(336) 423-8740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

6105 Habersham Dr
Kernersville, NC 27284-6317

Mailing address

6105 Habersham Dr
Kernersville, NC 27284-6317
Phone (336) 423-8740

National Provider Directory

National Provider Directory
Tax ID family
Performance Recovery Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1377302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377302400000",
    "number": "1366876559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6105 HABERSHAM DR",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272846317",
            "telephone_number": "336-423-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6105 HABERSHAM DR",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272846317",
            "telephone_number": "336-423-8740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE RECOVERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-24",
        "last_updated": "2013-08-24",
        "status": "A",
        "authorized_official_last_name": "COPLIN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "WENDELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-423-8740",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LCAS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2013; 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.