Individual provider Active NPI

Eugene Henry Peter Wade, MD

  • Family Medicine Physician
  • Kernersville, NC
National Provider Identifier
1548256266
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28368 Issued in NC
Practice address
1635 NC Hwy 66 South
Suite 210
Kernersville, NC 27284
Phone
(336) 992-1770
Fax
(336) 992-1776
NPI assigned
Sep 27, 2005
Last updated
Dec 13, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 28368 NC Primary

Addresses

Primary practice location

1635 NC Hwy 66 South
Suite 210
Kernersville, NC 27284

Mailing address

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 992-1770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060327000024 NC Practitioner - Family PracticePractitioner - Emergency Medicine 2163400623 Reassigns benefits to 5 organizations
I20080812000729 VA Practitioner - Family PracticePractitioner - Emergency Medicine 2163400623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Howard University College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Infusion Services LLCGroup PAC ID 4688578826, 60 clinicians

Practice addresses (Care Compare)

14401 Sommerville CT
Suite B
Midlothian, VA 23113-6914
Phone (800) 809-1265

1551 Westbrook Plaza Dr
Suite 100
Winston Salem, NC 27103-1355
Phone (743) 999-7220

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services, Inc. Family Medicine Current Accepting new patients
Moses Cone Physician Services, Inc. Family Medicine CurrentSince Apr 1, 2011 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Family Medicine CurrentSince Sep 1, 2009 Accepting new patients
Palmetto Infusion Services LLC CurrentSince Aug 18, 2018 Accepting new patients
Alamance Regional Medical Center, Inc. CurrentSince Nov 1, 2012 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Apr 1, 2011 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Family Medicine Current Accepting new patients
Alleghany Emergency Group LLC CurrentSince Oct 1, 2011 Accepting new patients
Cornerstone Medical Center, PA Family Medicine CurrentSince Apr 30, 2003 Accepting new patients
Alamance Regional Medical Center, Inc CurrentSince Nov 1, 2012 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Sep 1, 2009 Accepting new patients
Emcare Physician Providers, Inc. Past Accepting new patients
NC Emergency Physician Partners PLLC Past Accepting new patients
United Emergency Services, Inc. Past Accepting new patients

Locations

200 Julian Shoals Dr
Ste 30
Arden, NC 28704
Phone 8008091265 ext. 3502

1041 Kirkpatrick Rd
Ste 100
Burlington, NC 27215
Phone (336) 538-0089

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

3315 Springbank Ln
Ste 100
Charlotte, NC 28226
Phone (704) 200-9482

9975 Poplar Tent Rd
Ste 200
Concord, NC 28027

2301 Robeson St
Ste 302
Fayetteville, NC 28305
Phone (910) 391-1502

1131 N Church St
Greensboro, NC 27401
Phone (336) 358-5100

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

2001 N Church St
Ste 201
Greensboro, NC 27405

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

2080 W Arlington Blvd
Ste B
Greenville, NC 27834
Phone (252) 752-2140

256 10th Ave NE
Ste A
Hickory, NC 28601
Phone (828) 322-6699

2079 Ralph Stephens Rd
Holly Springs, NC 27540

1635 NC Highway 66 S
Ste 210
Kernersville, NC 27284
Phone (336) 992-1770

233 Doctors St
Sparta, NC 28675
Phone (336) 372-3223

20 Medical Campus Dr NW
Ste 105
Supply, NC 28462
Phone (910) 754-3525

1551 Westbrook Plaza Dr
Ste 100
Winston Salem, NC 27103
Phone (743) 999-7220

14401 Sommerville Ct
Ste B
Midlothian, VA 23113

828 Healthy Way
Ste 280
Virginia Beach, VA 23462
Phone (757) 351-1343

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355356800000",
    "number": "1548256266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011004",
            "telephone_number": "336-992-1770",
            "fax_number": "336-992-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 NC HWY 66 SOUTH",
            "address_2": "SUITE 210",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "27284",
            "telephone_number": "336-992-1770",
            "fax_number": "336-992-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "EUGENE",
        "middle_name": "HENRY PETER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2012-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "28368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

Verify at the official NPI Registry.