Rise Up Addiction Medicine & Pain Management PLLC

Primary specialty

Addiction Medicine (Anesthesiology) PhysicianTaxonomy code 207LA0401X

Legal business name

RISE UP ADDICTION MEDICINE & PAIN MANAGEMENT PLLC

Doing business as

Medical Office

Practice address

500 W 5TH St Ste 800
Winston Salem, NC 27101-3131

Phone

(336) 247-1068

NPI assigned

Jul 14, 2021

Last updated

Sep 8, 2021By 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

Michael Royall Jr., FNPNPI 1356819320

Title

Owner

Phone

(336) 248-1068

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Medical Office Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael R Royall Jr., NP

  • Nurse Practitioner
  • North Wilkesboro, NC
  • NPI 1356819320
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1659943108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W 5TH ST STE 800",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013131",
            "telephone_number": "336-247-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W 5TH ST STE 800",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013131",
            "telephone_number": "336-247-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE UP ADDICTION MEDICINE & PAIN MANAGEMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "ROYALL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-248-1068",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356819320",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Office",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medical Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristen E Rinkenberg, PA
• Douglas G Ririe, MD
• Jyoti Risal, MD
• Rise and Shine Counseling PLLC
• Rise Health, LLC (Rise Transportation)
• John David Riser, PA-C
• Rising Hope Clinical Assistance, LLC
• John Edward Ritchie, M.D.
• Rite Aid Pharmacy
• Rebecca Lynn Ritter, MSN, NNP-BC

• Anesthesiology Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Anesthesiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.