OrganizationEvergreen Health Promotion,P.A.Internal MedicineAllopathic & Osteopathic PhysiciansPractice Address1365 Westgate Center Dr, Ste G1, Winston Salem, NC 27103(336) 659-6250PECOS EnrollmentBased on the most recent information from CMS, provider Evergreen Health Promotion,P.A. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1154332971Provider TypeOrganizationFull NameEvergreen Health Promotion,P.A.SubpartNoEnumeration Date8/10/2006Last Updated9/22/2022Contact InformationPractice LocationPractice Address1365 Westgate Center Dr, Ste G1, Winston Salem, NC 27103Phone(336) 659-6250Fax(336) 659-6250Mailing LocationMailing Address1365 Westgate Center Dr, Ste G1, Winston Salem, NC 27103Phone(336) 659-6250Fax(336) 659-6239Authorized OfficialNameGreenberg, Naomi Hanna (Practice Administrator)Phone(336) 659-0020Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID8916312DescriptionMedicaidIssuerUnlistedNorth Carolina