Holly C Pegram (NPI# 1023364627, PAC ID# 2466609284) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1023364627 |
| PAC ID by PECOS | 2466609284 |
| Professional Enrollment ID | I20120830000439 |
| Full Name | Holly C Pegram |
| Organization Legal Name | PIEDMONT TRIAD ANESTHESIA, PA |
| Address |
6915 Village Medical Cir Clemmons NC 27012-8002 |
| Phone Number | 3368931000 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 8426020025 |
| Number of Group Practice Members | 146 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340014 | NOVANT HEALTH FORSYTH MEDICAL CENTER |
| 340148 | NOVANT HEALTH MEDICAL PARK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6915 Village Medical Cir, Clemmons, NC 27012-8002 | 3368931000 | PIEDMONT TRIAD ANESTHESIA, PA |
| 654 Wishbone Farm Rd, Kernersville, NC 27284-7947 | 3365644000 | PIEDMONT TRIAD ANESTHESIA, PA |
| 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 3367185000 | PIEDMONT TRIAD ANESTHESIA, PA |
| 145 Kimel Park Dr, Suite 120, Winston-salem, NC 27103-6983 | 3367683212 | PIEDMONT TRIAD ANESTHESIA, PA |
| Organization Legal Name | PIEDMONT TRIAD ANESTHESIA, PA |
| Physicians | 124 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Noelle Annette Desimone | Anesthesiology | Piedmont Triad Anesthesia, Pa | 3333 Silas Creek Pwky, Winston Salem, NC 27103-3013 |
| Ryan S Dreikorn | Certified Registered Nurse Anesthetist (crna) | Piedmont Triad Anesthesia, Pa | 654 Wishbone Farm Rd, Kernersville, NC 27284-7947 |
| Carie S Nunley | Certified Registered Nurse Anesthetist (crna) | Piedmont Triad Anesthesia, Pa | 145 Kimel Park Dr, Suite 120, Winston-salem, NC 27103-6983 |
| Adair Q Locke | Anesthesiology | Piedmont Triad Anesthesia, Pa | 6915 Village Medical Cir, Clemmons, NC 27012-8002 |
| Connie S Freeman | Certified Registered Nurse Anesthetist (crna) | Piedmont Triad Anesthesia, Pa | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 |
| Jessica S Rose | Certified Registered Nurse Anesthetist (crna) | Piedmont Triad Anesthesia, Pa | 6915 Village Medical Cir, Clemmons, NC 27012-8002 |
| Marcus A Helms | Certified Registered Nurse Anesthetist (crna) | Piedmont Triad Anesthesia, Pa | 145 Kimel Park Dr, Suite 120, Winston-salem, NC 27103-6983 |
| Mary K Leavery | Certified Registered Nurse Anesthetist (crna) | Piedmont Triad Anesthesia, Pa | 145 Kimel Park Dr, Suite 120, Winston-salem, NC 27103-6983 |
| Tammy V Phinney | Certified Registered Nurse Anesthetist (crna) | Piedmont Triad Anesthesia, Pa | 145 Kimel Park Dr, Suite 120, Winston-salem, NC 27103-6983 |
| Benjamin J Boehnlein | Certified Registered Nurse Anesthetist (crna) | Piedmont Triad Anesthesia, Pa | 145 Kimel Park Dr, Suite 120, Winston-salem, NC 27103-6983 |
| Street Address |
6915 VILLAGE MEDICAL CIR |
| City | CLEMMONS |
| State | NC |
| Zip | 27012-8002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adair Q Locke | Anesthesiology | Piedmont Triad Anesthesia, Pa | 6915 Village Medical Cir, Clemmons, NC 27012-8002 |
| Jessica S Rose | Certified Registered Nurse Anesthetist (crna) | Piedmont Triad Anesthesia, Pa | 6915 Village Medical Cir, Clemmons, NC 27012-8002 |
| David T Pearce | Hospitalist | Novant Medical Group Inc | 6915 Village Medical Cir, Clemmons, NC 27012-8002 |
| Thomas Gendrachi | Anesthesiology | Piedmont Triad Anesthesia, Pa | 6915 Village Medical Cir, Clemmons, NC 27012-8002 |
| Edward Matthew Lopez Ii | Diagnostic Radiology | Triad Radiology Associates Pllc | 6915 Village Medical Cir, Clemmons, NC 27012-8002 |
| Joshua Keith Parker | Physician Assistant | Novant Medical Group Inc | 6915 Village Medical Cir, Clemmons, NC 27012-8002 |
| David L Saliba | Anesthesiology | Piedmont Triad Anesthesia, Pa | 6915 Village Medical Cir, Clemmons, NC 27012-8002 |
| Sean Ploof | Diagnostic Radiology | Triad Radiology Associates Pllc | 6915 Village Medical Cir, Clemmons, NC 27012-8002 |
| Lisa G Hale | Certified Registered Nurse Anesthetist (crna) | Piedmont Triad Anesthesia, Pa | 6915 Village Medical Cir, Clemmons, NC 27012-8002 |
| Kimberly A Gordon | Certified Registered Nurse Anesthetist (crna) | Piedmont Triad Anesthesia, Pa | 6915 Village Medical Cir, Clemmons, NC 27012-8002 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Lewis Craig Iii | Orthopedic Surgery | Orthocarolina, Pa | 2265 Lewisville Rd C, Clemmons, NC 27012 |
| Michael J Riccoboni | Chiropractic | 6774 River Ctr Dr, Clemmons, NC 27012-6745 | |
| William Jeffery Marshall | Psychiatry | Piedmont Psychiatric Associates | 2255 Lewisville Clemmons Rd, Suite E, Clemmons, NC 27012-7460 |
| Barbara O Morgan | Nurse Practitioner | Piedmont Psychiatric Associates | 2255 Lewisville Clemmons Rd, Suite E, Clemmons, NC 27012-7460 |
| Glen E Combs | Physician Assistant | Piedmont Psychiatric Associates | 2255 Lewisville Clemmons Rd, Suite E, Clemmons, NC 27012-7460 |
| Arie Mantin | Family Medicine | 2245 Lewisville Clemmons Rd, Suite C, Clemmons, NC 27012-7461 | |
| Anna E Nichols | Qualified Audiologist | Carolina Hearing Doctors, Inc. | 3780 Clemmons Rd, A, Clemmons, NC 27012-7515 |
| Carlon S Mills | Qualified Audiologist | Carolina Hearing Doctors, Inc. | 3780 Clemmons Rd, A, Clemmons, NC 27012-7515 |
| Robert K Beam | Family Medicine | Carolina Medicorp Enterprises, Inc. | 4136 Clemmons Rd, Clemmons, NC 27012-7520 |
| Danielle M Carter-adkins | Physician Assistant | Novant Medical Group Inc | 4130 Clemmons Rd, Clemmons, NC 27012-7520 |
| Find all physicians in zip 27012 | |||
| City | CLEMMONS |
| Zip Code | 27012 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | CLEMMONS + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Holly C Pegram.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.