P & P Legacy Group, LLC

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

P & P LEGACY GROUP, LLC

Doing business as

Back & Forth Transport

Practice address

275 Azalea Dr
Winston Salem, NC 27105-1789

Phone

(336) 473-6266

NPI assigned

Feb 17, 2025

Last updated

Mar 30, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Alberta Yvette Squire

Title

Owner

Phone

(336) 970-7809

Specialties & licenses 1

Addresses

Other names 1

• Back & Forth Transport Doing business as

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743292800000",
    "number": "1437954047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 AZALEA DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271051789",
            "telephone_number": "336-473-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 AZALEA DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271051789",
            "telephone_number": "336-473-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P & P LEGACY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-03-30",
        "certification_date": "2025-03-30",
        "status": "A",
        "authorized_official_last_name": "SQUIRE",
        "authorized_official_first_name": "ALBERTA",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-970-7809",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back & Forth Transport",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Back & Forth Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Owens Jr.
• Owen Tyler Owens, D.O.
• Ronald Keith Owens, DDS
• Sherrlyn Harris Owens, CRNA
• Courtney Jo Oxendine, PA-C
• P & W Dobbs, LLC
• Robert Terrell Pace, RPH
• Dolorosa Ticsay Pachao, FNP-C
• Swetha Srinivas Padiyar, M.D.
• Sean Tooker Padungtin, MD

• Private Vehicle in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Private Vehicle in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2025; 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.