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MR. JIMMY WAYNE CARPENTER C.PED
NPI 1962781047
Specialist in Winston Salem, NC

Active since August 08, 2011
4500 INDIANA AVE STE 45, WINSTON SALEM, NC 27106(336) 245-4736(888) 812-7934 Get Directions Write a Review

NPPES record last updated: August 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jimmy Wayne Carpenter C.ped NPPES

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

MR. JIMMY WAYNE CARPENTER C.PED (NPI 1962781047) is an individual specialist in Winston Salem, North Carolina and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1962781047
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. JIMMY WAYNE CARPENTERCredential: C.PED
Location Address4500 INDIANA AVE STE 45Winston Salem, NC 27106-3269
Mailing Address4807 Edinborough RdGreensboro, NC 27406-8322 · (336) 674-6422 · Fax (336) 674-2282
Phone(336) 245-4736
Fax(888) 812-7934
Sole ProprietorYes
Enumeration DateAugust 8, 2011
✔ NPI 1962781047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4500 INDIANA AVE STE 45, Winston Salem, NC 27106
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Other Providers at the Same Location NPPES

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

EAST COAST FAMILY COUNSELING SERVICES, INC
Counselor (Professional)
4500 INDIANA AVE STE 45
WINSTON SALEM, NC 27106
Forsyth County (336) 408-4396

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 Jimmy Carpenter's NPI number?

The NPI number for Jimmy Carpenter is 1962781047. It was assigned to this individual provider in the NPPES registry on August 8, 2011.

Where is Jimmy Carpenter located?

Jimmy Carpenter practices at 4500 Indiana Ave Ste 45, Winston Salem, NC 27106. The listed phone number is (336) 245-4736.

What is Jimmy Carpenter's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jimmy Carpenter was last updated on August 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.