Individual provider Active NPI

Rachel Addison Pugh, NP

  • Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1811687908
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5018313 Issued in NC
Practice address
6123 Lea Ray Dr
Greensboro, NC 27410-4922
Phone
(336) 880-8538
NPI assigned
May 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5018313 NC Primary
Family Nurse Practitioner 363LF0000X STUDENT NC

Addresses

Primary practice location

6123 Lea Ray Dr
Greensboro, NC 27410-4922

Mailing address

6123 Lea Ray Dr
Greensboro, NC 27410-4922
Phone (336) 880-8538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230926000096 NC Practitioner - Nurse Practitioner 2163876186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
NH-CL Clinics LLCGroup PAC ID 6305262692, 82 clinicians

Practice addresses (Care Compare)

730 Highland Oaks Dr
Winston Salem, NC 27103-7154
Phone (336) 646-7323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
STUDENTNCMDOtolaryngology Physician
5018313NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NH-CL Clinics, LLC CurrentSince Aug 19, 2023 Accepting new patients
Neurosurgical Associates of the PastSince Nov 1, 2004 Accepting new patients

Locations

6371 Jessie Ln
Clemmons, NC 27012
Phone (336) 740-9060

18 Oak Branch Dr
Ste C
Greensboro, NC 27407
Phone (336) 579-2312

500 Pineview Dr
Ste 205
Kernersville, NC 27284
Phone (336) 310-6115

6329 Unity St
Ste A
Thomasville, NC 27360
Phone (336) 474-0278

2810 Maplewood Ave
Winston Salem, NC 27103
Phone (336) 768-1811

730 Highland Oaks Dr
Winston Salem, NC 27103
Phone (336) 646-7323

Interoperability endpoints

  • Direct secure messaging: rpugh1146119@direct.novanthealth.org

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1811687908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6123 LEA RAY DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104922",
            "telephone_number": "336-880-8538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6123 LEA RAY DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104922",
            "telephone_number": "336-880-8538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGH",
        "first_name": "RACHEL",
        "middle_name": "ADDISON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-11",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5018313",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "STUDENT",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.