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PEC LTC PA
NPI 1306519152
General Practice in Winston Salem, NC

Active since July 28, 2021
4692 BROWNSBORO RD, WINSTON SALEM, NC 27106(336) 251-1114(336) 251-1117 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pec Ltc Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEC LTC PA (NPI 1306519152) is a healthcare organization registered as a general practice in Winston Salem, North Carolina and active in the NPI registry since July 2021. The organization lists Christopher Herman, President, as its authorized official.

NPPES Registry Identity

NPI1306519152
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePEC LTC PA
Location Address4692 BROWNSBORO RDWinston Salem, NC 27106-3410
Mailing Address4692 Brownsboro RdWinston Salem, NC 27106-3410 · (336) 251-1114 · Fax (336) 251-1117
Phone(336) 251-1114
Fax(336) 251-1117
Organization SubpartNo
Authorized OfficialChristopher HermanPresident · (336) 251-1114
Enumeration DateJuly 28, 2021
NPPES CertifiedJuly 28, 2021
✔ NPI 1306519152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4692 BROWNSBORO RD, Winston Salem, NC 27106
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TIMOTHY LEE FISCHER DO
Family Medicine (Geriatric Medicine)
4692 BROWNSBORO RD
WINSTON SALEM, NC 27106
Forsyth County (336) 251-1114
MS. MEGAN L ROSSITER PA-C
Physician Assistant
4692 BROWNSBORO RD
WINSTON SALEM, NC 27106
Forsyth County (336) 251-1114
MS. DANIELLE NICHOLE STOVALL DNP, AGNP-C
Nurse Practitioner
4692 BROWNSBORO RD
WINSTON SALEM, NC 27106
Forsyth County (336) 251-1114
DR. TIYIKA JANAYE SULLIVAN NURSE PRACTITIONER
Nurse Practitioner (Adult Health)
4692 BROWNSBORO RD
WINSTON SALEM, NC 27106
Forsyth County (336) 251-1114
DR. VENEZELA THOMAS SLADE-HARTMAN M.D.
Family Medicine
4692 BROWNSBORO RD
WINSTON SALEM, NC 27106
Forsyth County (336) 251-1114
TAMSY ELLEN FISHER PA
Physician Assistant
4692 BROWNSBORO RD
WINSTON SALEM, NC 27106
Forsyth County (336) 251-1114
GREGORY MICHAEL BUGAJ MD
Internal Medicine
4692 BROWNSBORO RD
WINSTON SALEM, NC 27106
Forsyth County (336) 251-1114
MRS. LAMONICA KEITH STOKES NP
Nurse Practitioner (Adult Health)
4692 BROWNSBORO RD
WINSTON SALEM, NC 27106
Forsyth County (336) 251-1114

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pec Ltc PA's NPI number?

The NPI number for Pec Ltc PA is 1306519152. It was assigned to this organization in the NPPES registry on July 28, 2021.

Where is Pec Ltc PA located?

Pec Ltc PA is located at 4692 Brownsboro Rd, Winston Salem, NC 27106. The listed phone number is (336) 251-1114.

What is Pec Ltc PA's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Pec Ltc PA was last updated on July 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.