Holly C Pegram
PIEDMONT TRIAD ANESTHESIA, PA


Address: 6915 Village Medical Cir, Clemmons, NC 27012-8002
Phone: 3368931000

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).

Physician Overview

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

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
340014 NOVANT HEALTH FORSYTH MEDICAL CENTER
340148 NOVANT HEALTH MEDICAL PARK HOSPITAL

Other Locations

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 Information

Organization Legal Name PIEDMONT TRIAD ANESTHESIA, PA
Physicians 124

Physicians with the same organization

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

Office Location

Street Address 6915 VILLAGE MEDICAL CIR
City CLEMMONS
State NC
Zip 27012-8002

Physicians in the same location

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

Physicians in the same zip code

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

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Dataset Information

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.

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