LOUIS PETTYGROVE (NPI# 1194373217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194373217 |
| Entity Type | Individual |
| Full Name | LOUIS PETTYGROVE |
| Practice Address |
1705 Tarboro St Sw Wilson NC 27893-3428 |
| Practice Telephone | 2523998112 |
| Enumeration Date | 2019-09-02 |
| Last Update Date | 2019-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1705 TARBORO ST SW |
| City | WILSON |
| State | NC |
| Zip Code | 27893-3428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912902628 | Wilmed Generations,inc. | Skilled Nursing Facility | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2005-06-17 |
| 1174131791 | Julia Adams | Physical Therapist | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2020-07-20 |
| 1457986085 | Angela Fogel Carter | Occupational Therapy Assistant | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2020-03-04 |
| 1730734757 | Joellen Carroll | Physical Therapist | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2019-08-06 |
| 1205304391 | Nikolas Bland | Physical Therapist | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2018-11-06 |
| 1629544804 | Robin Marie Steinert | Speech-Language Pathologist | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2018-10-16 |
| 1093298804 | Wanda Lisa Crunkleton | Physical Therapy Assistant | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2018-09-08 |
| 1003308305 | Coastal Plains Pathology Pa | Pathology | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2018-06-01 |
| 1356861694 | Andrew Patrick Fink | Radiology | 1705 Tarboro St Sw, Wilson Medical Center, Wilson, NC 27893-3428 | 2017-06-27 |
| 1386196459 | Dlp Wilson Medical Center LLC | Psychiatric Unit | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2016-10-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847524 | Graceland Student Services LLC | Early Intervention Provider Agency | 610 Fairview Ave., Wilson, NC 27893 | 2020-09-30 |
| 1508477894 | Evan Michael Abatiell | Specialist/Technologist | 400 Atlantic Christian E West Ne, Wilson, NC 27893 | 2020-08-11 |
| 1679100606 | Newgreen Inhomecare Group Inc | Registered Nurse | 121 Nast Street N, Wilson, NC 27893 | 2020-03-27 |
| 1942772983 | Open Water Medical, Pa | Clinic/Center | 4008 Nc-42, Wilson, NC 27893 | 2018-12-31 |
| 1679043244 | Madison Rose Propst | Social Worker | 2416 Bedgood, Wilson, NC 27893 | 2018-11-27 |
| 1104396753 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2500 Horton Blvd, Wilson, NC 27893 | 2018-11-27 |
| 1528545498 | North Carolina In-home Partner-viii, LLC | Home Health | 1901 Tarboro St Sw Ste 304, Wilson, NC 27893 | 2018-07-24 |
| 1518478957 | Home Away From Home, Inc. | In Home Supportive Care | 1723 Meadowbrook Lane W., Wilson, NC 27893 | 2017-10-12 |
| 1942721295 | Sandra Susan Blazek | Social Worker | 608 Nash Street Nw, Wilson, NC 27893 | 2017-06-27 |
| 1700306297 | Kimberly Denton Almkuist | Nurse Practitioner | Wilson County Health Department, 1801 Glendale Dr. Sw, Wilson, NC 27893 | 2017-06-26 |
| Find all providers in zip 27893 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396041216 | Brittany L Harrison | Physician Assistant | 2503 Forest Hills Rd W, Wilson, NC 27893-3300 | 2011-02-10 |
| 1992717524 | Dennis Harris | Physician Assistant | 2261 Nash St Nw, Wilson, NC 27896-1735 | 2006-08-12 |
| 1215963301 | Doug Haney | Physician Assistant | 1705 S. Tarboro, Wilson, NC 27893 | 2006-06-23 |
| 1588612691 | Claire Renee Owens | Physician Assistant | 2402 Camden St, Suite 300, Wilson, NC 27895-3526 | 2006-05-04 |
| 1023098514 | Clifford Amos | Physician Assistant | 1806 Glendale Dr Sw, Wilson, NC 27893-4402 | 2006-01-19 |
| 1811984974 | Amy Van Vooren | Physician Assistant | 1705 S. Tarboro Street, Wilson, NC 27893-3428 | 2005-10-04 |
| 1790781631 | Kathy D Pearson | Physician Assistant | 2624 Ortho Dr W, Wilson, NC 27893-3484 | 2005-06-24 |
| 1386287084 | Courtney Northup | Physician Assistant | 1700 Forest Hills Rd W, Wilson, NC 27893-3411 | 2019-10-25 |
| 1477027977 | Dana Marie Varnell | Physician Assistant | 1803 Forest Hills Rd W, Wilson, NC 27893-3412 | 2019-01-17 |
| 1750805461 | Megan Jo Speziale | Physician Assistant | 200 Glendale Dr W, Wilson, NC 27893-2772 | 2017-08-03 |
| Find all providers in WILSON | ||||
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| 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.