DIGITRACE CARE SERVICES INC (NPI# 1811174287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811174287 |
| Entity Type | Organization |
| Organization Name | DIGITRACE CARE SERVICES INC |
| Practice Address |
123 Capcom Ave Suite 10 Wake Forest NC 27587-6517 |
| Mailing Address |
60 Chastain Center Blvd Nw Suite 66 Kennesaw GA 30144-5598 |
| Practice Telephone | 9785367400 |
| Mailing Telephone | 7705925544 |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2009-10-15 |
| Authorized Official Name | CARL IBERGER (EVP/CFO) |
| Authorized Official Telephone | 9785367400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 7618325 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720280936 | Digitrace Care Services Inc | Clinic/Center | 4923 Olgletown Rd, Newark, DE 19713 | 2007-06-01 |
| 1003035510 | Digitrace Care Services Inc | Clinic/Center | 6931 Arlington Rd, T300-a, Bethesda, MD 20814-5231 | 2007-04-24 |
| 1144340258 | Digitrace Care Services Inc | Physiological Laboratory | 8700 N Stemmons Fwy, Suite 135, Dallas, TX 75247-3729 | 2007-03-30 |
| 1184636870 | Digitrace Care Services Inc | Durable Medical Equipment & Medical Supplies | 130 S State Rd Ste 202, Springfield, PA 19064-1232 | 2006-08-12 |
| 1720099179 | Digitrace Care Services Inc | Clinic/Center | 10 Dorrance St, Suite 735 7th Floor, Providence, RI 02903-2018 | 2006-08-11 |
| 1992715890 | Digitrace Care Services Inc | Clinic/Center | 1060 Kings Hwy N Ste 309, Cherry Hill, NJ 08034 | 2006-08-09 |
| 1306855291 | Digitrace Care Services Inc | Durable Medical Equipment & Medical Supplies | 1 Higgins St, Augusta, ME 04330-6312 | 2006-08-07 |
| 1134150683 | Digitrace Care Services Inc | Durable Medical Equipment & Medical Supplies | 400 Us Route 1, Suite A, Falmouth, ME 04105-1319 | 2006-07-05 |
| 1306119797 | Digitrace Care Services Inc | Clinic/Center | 2052 Jefferson Davis Hwy, Suite 109, Stafford, VA 22554-7286 | 2012-02-15 |
| 1295005858 | Digitrace Care Services Inc | Clinic/Center | 760 W Sproul Rd, 102b, Springfield, PA 19064-4001 | 2012-01-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | DIGITRACE CARE SERVICES INC. | 1950 Lake Park Dr Se Bldg 1900, Smyrna, Georgia 30080-7648 |
| Street Address |
123 CAPCOM AVE SUITE 10 |
| City | WAKE FOREST |
| State | NC |
| Zip Code | 27587-6517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255367413 | Sleepmed Therapies Inc. | Durable Medical Equipment & Medical Supplies | 123 Capcom Ave, Suite 10, Wake Forest, NC 27587-6517 | 2006-06-22 |
| 1376702951 | Catherine Thornton Boles | Dentist | 123 Capcom Ave, Suite 5, Wake Forest, NC 27587-6517 | 2008-06-09 |
| 1801996343 | Tran Minhthi Nguyen | Dentist | 123 Capcom Ave, Suite 5, Wake Forest, NC 27587-6517 | 2006-09-24 |
| 1154421691 | Nguyen & Nguyen Dentistry Partnership | Dentist | 123 Capcom Ave, Wake Forest, NC 27587-6517 | 2006-09-24 |
| 1093742017 | Philip D Burton | Family Medicine | 123 Capcom Ave, Suite One, Wake Forest, NC 27587-6517 | 2006-06-26 |
| 1538195904 | Carolina Diagnostics Inc | Durable Medical Equipment & Medical Supplies | 123 Capcom Ave, Suite 10, Wake Forest, NC 27587 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831713080 | Catherine Restrepo | Speech-Language Pathologist | 900 S Franklin St, Ste 201, Wake Forest, NC 27587 | 2020-06-03 |
| 1942760277 | Samantha Fae Pugh | Occupational Therapist | 200 Dr. Calvin Jones Hwy, Suite 200, Wake Forest, NC 27587 | 2019-03-22 |
| 1851863609 | The Counseling Collective | Counselor | 1764 Heritage Center Drive, 204, Wake Forest, NC 27587 | 2018-12-18 |
| 1891270856 | Halston Hoke | Speech-Language Pathologist | 620 Dr. Calvin Jones Hwy Ste 200, Wake Forest, NC 27587 | 2018-09-26 |
| 1710465620 | Amy K Tarnowski | Physical Therapist | The Lodge At Wake Forest, 1151 South Main Street, Wake Forest, NC 27587 | 2018-08-02 |
| 1518452341 | Language and Literacy 365, Pllc | Speech-Language Pathologist | 956 Templeridge Rd, Wake Forest, NC 27587 | 2018-06-25 |
| 1467951723 | Justin Mitchell | Physical Therapist | 843 Durham Rd Suite 110, Wake Forest, NC 27587 | 2018-02-01 |
| 1124544499 | Carolina Concussion & Physical Medicine, Pllc | Chiropractor | 120 Capcom Aveune, Suite 104, Wake Forest, NC 27587 | 2017-08-18 |
| 1902293889 | Katherine Armine Lorch | Student in an Organized Health Care Education/Training Program | 3000 Rogers Road Ste 210, Wake Forest, NC 27587 | 2015-04-18 |
| 1437553302 | Raleigh Durham Medical Group, Pa | Family Medicine | 620 Dr Calvin Jones Highway, Ste 212, Wake Forest, NC 27587 | 2014-10-21 |
| Find all providers in zip 27587 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548876006 | Classified Group Ltd | Durable Medical Equipment & Medical Supplies | 520 Lake Holding St, Wake Forest, NC 27587-6856 | 2020-09-21 |
| 1104438506 | Murphy Medical Supply | Durable Medical Equipment & Medical Supplies | 12520 Capital Blvd Ste 401-114, Wake Forest, NC 27587-4659 | 2020-08-18 |
| 1487275780 | Advanced Rehab Technologies LLC | Durable Medical Equipment & Medical Supplies | 12339 Wake Union Church Rd Ste 105, Wake Forest, NC 27587-4512 | 2020-04-28 |
| 1144879313 | Harp Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 12339 Wake Union Church Rd Ste 108, Wake Forest, NC 27596 | 2019-09-10 |
| 1386137727 | London Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 12335 Wake Union Church Rd Ste 207, Wake Forest, NC 27587-4527 | 2018-06-11 |
| 1992216220 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 13686 Capital Blvd, Wake Forest, NC 27587-6607 | 2017-10-13 |
| 1447778675 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2811 Rogers Rd, Wake Forest, NC 27587-3893 | 2017-09-08 |
| 1497290688 | Rite Aid of North Carolina Inc | Durable Medical Equipment & Medical Supplies | 2811 Rogers Road, Wake Forest, NC 27587-1234 | 2016-12-27 |
| 1215482419 | Publix North Carolina Lp | Durable Medical Equipment & Medical Supplies | 1030 Forestville Rd, Wake Forest, NC 27587-9361 | 2016-08-18 |
| 1164870366 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 11460 Royall Cotton Road, Wake Forest, NC 27587-0000 | 2016-05-27 |
| Find all providers in WAKE FOREST | ||||
| City | WAKE FOREST |
| Zip Code | 27587 |
Please comment or provide details below to improve the information on DIGITRACE CARE SERVICES INC.
| 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.