ATS OF NORTH CAROLINA, LLC (NPI# 1023550944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023550944 |
| Entity Type | Organization |
| Organization Name | ATS OF NORTH CAROLINA, LLC |
| Other Organization Name | WINSTON-SALEM COMPREHENSIVE TREATMENT CENTER |
| Practice Address |
1617 S Hawthorne Rd Winston Salem NC 27103-4127 |
| Practice Telephone | 8772047652 |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-12-06 |
| Authorized Official Name | JOHN PELOQUIN (PRESIDENT, CTC DIVISION) |
| Authorized Official Telephone | 8552592288 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Winston-Salem Comprehensive Treatment Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639455991 | Ats of North Carolina, LLC | Counselor | 2 Mcdowell Street, Ste. A, Asheville, NC 28801-4104 | 2011-10-31 |
| 1518243872 | Ats of North Carolina, LLC | Counselor | 200 Northview Plz, North Wilkesboro, NC 28659-3173 | 2011-10-31 |
| 1376680199 | Ats of North Carolina, LLC | Counselor | 3427 Melrose Rd, Fayetteville, NC 28304-1608 | 2007-01-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | ATS of North Carolina, LLC | 6100 Tower Circle Suite 1000 , Franklin, TN 37067 |
| Virginia Business Entity | ATS of North Carolina, LLC | 6100 TOWER CIRCLE STE 1000 , FRANKLIN, TN 37067 |
| Street Address |
1617 S HAWTHORNE RD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-4127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861526253 | Drs. Harris and Gambill, P.a. | Dentist | 1617 S Hawthorne Rd, Winston Salem, NC 27103-4127 | 2007-03-15 |
| 1497389076 | Stephen Joseph Ball | Psychiatry & Neurology | 1617 S Hawthorne Rd, Winston Salem, NC 27103-4127 | 2020-02-24 |
| 1215113220 | Ralph E Harris | Dentist | 1617 S Hawthorne Rd, Winston Salem, NC 27103-4127 | 2008-01-21 |
| 1417133752 | James Martin Gambill | Dentist | 1617 S Hawthorne Rd, Winston Salem, NC 27103-4127 | 2008-01-17 |
| 1194941807 | William Mark Suttle | Dentist | 1617 S Hawthorne Rd, Winston Salem, NC 27103-4127 | 2007-04-18 |
| 1245456979 | Dudley C. Chandler Jr. | Dentist | 1617 S Hawthorne Rd, Winston Salem, NC 27103-4127 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609491273 | Alef High Point LLC | Clinic/Center | 919 Phillips Ave Ste 107, High Point, NC 27262-7076 | 2020-06-10 |
| 1861057747 | Independent Business Solutions | Clinic/Center | 110 Fallenwood Ave, Durham, NC 27713-7112 | 2019-05-06 |
| 1710470901 | Pieridae Treatment Centers LLC | Clinic/Center | 4806 Asheville Hwy, Hendersonville, NC 28791-9091 | 2018-06-12 |
| 1750821229 | Jacksonville Treatment Center | Clinic/Center | 1112 Silver Oaks Ct, Raleigh, NC 27614-9359 | 2017-03-03 |
| 1528202926 | Raleigh Methadone Treatment Center | Clinic/Center | 5109 Oak Park Rd, Raleigh, NC 27612-3063 | 2009-04-29 |
| 1104085984 | Crossroads Treatment Center, LLC | Clinic/Center | 6 Roberts Rd, Suite 103, Asheville, NC 28803-8613 | 2008-06-05 |
| 1295336386 | Cherokee Indian Hospital Authority | Clinic/Center | 149 Cherokee Hospital Loop, Cherokee, NC 28719 | 2020-11-04 |
| 1952896813 | Sanford Treatment Center, LLC | Clinic/Center | 2800 Industrial Dr, Sanford, NC 27332 | 2018-06-24 |
| 1528594041 | Rocky Mount Treatment Center LLC | Clinic/Center | 104 Zebulon Ct, Rocky Mount, NC 27804-2420 | 2017-05-03 |
| 1053851410 | Metro Treatment of North Carolina L P | Clinic/Center | 238 Wilmot Dr, Gastonia, NC 28054-4047 | 2017-03-06 |
| Find all providers with the same taxonomy | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.