AWAKENINGS INFUSION CENTER OF NORTH CAROLINA, PLLC (NPI# 1578021432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578021432 |
| Entity Type | Organization |
| Organization Name | AWAKENINGS INFUSION CENTER OF NORTH CAROLINA, PLLC |
| Practice Address |
500 Holly Springs Rd Ste 106 Holly Springs NC 27540-6204 |
| Mailing Address |
1053 Drew Dr Garner NC 27529-7653 |
| Practice Telephone | 9105143558 |
| Practice Fax Number | 9195901599 |
| Mailing Telephone | 9105143558 |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-03-08 |
| Authorized Official Name | DR. ANTHONY CHUNG (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 9105143558 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| Y | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
Ambulatory Health Care Facilities |
| Street Address |
500 HOLLY SPRINGS RD STE 106 |
| City | HOLLY SPRINGS |
| State | NC |
| Zip Code | 27540-6204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528612785 | Marina Isabel Mckeown | Speech-Language Pathologist | 1140 W Savannah Ridge Rd, Suite 111, Holly Springs, NC 27540 | 2019-07-26 |
| 1912474784 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 1004 Werrington Drive, Suite 300, Holly Springs, NC 27540 | 2018-10-30 |
| 1699240937 | Kristen Shrum | Family Medicine | 401 Irving Parkway, Holly Springs, NC 27540 | 2018-10-12 |
| 1508369109 | Shannon Silsby | Nurse Practitioner | 1004 Werrington Dr Ste 200, Holly Springs, NC 27540 | 2018-03-10 |
| 1790212306 | Alex Nolan | Speech-Language Pathologist | 251 Center Street, Holly Springs, NC 27540 | 2017-05-12 |
| 1386190957 | Holly Springs Surgery Center, LLC | Clinic/Center | 600 Village Walk Drive, Holly Springs, NC 27540 | 2016-09-01 |
| 1568827723 | Leslie Clark Lively | Speech-Language Pathologist | 1140 W. Savannah Ridge Road, Suite 111, Holly Springs, NC 27540 | 2015-12-15 |
| 1124410667 | Back In Action of Holly Springs, Inc | Physical Therapist | 500 Village Walk Dr., Holly Springs, NC 27540 | 2015-02-20 |
| 1033559018 | Andrew John Krieger | Emergency Medicine | 5405 Bluet Ct, Holly Springs, NC 27540 | 2013-07-05 |
| 1598104200 | Atkins Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 144 Adrian Street, Holly Springs, NC 27540 | 2013-06-17 |
| Find all providers in zip 27540 | ||||
| Taxonomy Code | 261QI0500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Infusion Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1700493889 | Minute Medical Care, Pllc | Clinic/Center | 1218 East Blvd Ste B, Charlotte, NC 28203-6158 | 2020-09-23 |
| 1295358489 | Quick Sticks, LLC | Clinic/Center | 119 Tarboro St, Rocky Mount, NC 27801-5429 | 2020-05-21 |
| 1740825983 | Option Care Enterprises, Inc. | Clinic/Center | 131 Racine Dr Ste 100b, Wilmington, NC 28403-8781 | 2019-11-12 |
| 1912542150 | Option Care Enterprises, Inc. | Clinic/Center | 1015 Aviation Pkwy Ste 700, Morrisville, NC 27560-8540 | 2019-11-12 |
| 1093298598 | Kd Infusion Center Pa | Clinic/Center | 2806a Wooten Blvd Sw, Wilson, NC 27893-8624 | 2018-09-11 |
| 1669503504 | Thorasic and Vascular Associates of Kinston | Clinic/Center | 2508 N Queen St, Kinston, NC 28501-1631 | 2007-03-09 |
| 1386670644 | Wilson County Infusion Center | Clinic/Center | 2508 Ward Blvd, Wilson, NC 27893-1600 | 2006-06-25 |
| 1184174591 | Cumberland County Hospital System Inc | Clinic/Center | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2016-10-10 |
| 1902297971 | The Presbyterian Hospital | Clinic/Center | 10030 Gilead Rd, Huntersville, NC 28078-7545 | 2015-02-12 |
| 1588055529 | The Presbyterian Hospital | Clinic/Center | 1500 Matthews Township Pkwy, Matthews, NC 28105-4656 | 2015-02-12 |
| Find all providers with the same taxonomy | ||||
| City | HOLLY SPRINGS |
| Zip Code | 27540 |
Please comment or provide details below to improve the information on AWAKENINGS INFUSION CENTER OF NORTH CAROLINA, PLLC.
| 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.