Nexxus Family Care Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NEXXUS FAMILY CARE SERVICES

Practice address

2175 Mary Dee LN
Winston Salem, NC 27127-7587

Phone

(336) 788-7929

Fax

(336) 788-7998

NPI assigned

Mar 11, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jevon Antonio Carpenter

Title

Director of Operations

Phone

(336) 788-7929

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1487786919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20394",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271200394",
            "telephone_number": "336-788-7929",
            "fax_number": "336-788-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 MARY DEE LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271277587",
            "telephone_number": "336-788-7929",
            "fax_number": "336-788-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXXUS FAMILY CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-11",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "JEVON",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "336-788-7929",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418094",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Newton
• Julianne Page Newton
• Lindsay Newton, PHARMD
• Matthew Johnathan Newton, CRNA
• Sarah Newton, MA, CCC-SLP
• Jennifer Ngo
• Phuong Hoai Nguyen-Antonio, D.O.
• Brigitte Shiem Nguyen, PA
• Cynthia Nguyen, DO
• Katherine Thi Nguyen, D.O.

• Community/Behavioral Health Agency in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.