Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jimmy Wayne Carpenter, CPED

Individual provider Specialist · NPI 1962781047

Mr. Jimmy Wayne Carpenter, CPED is a Specialist in Winston Salem, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

4500 Indiana Ave Ste 45
Winston Salem, NC 27106-3269
Phone: (336) 245-4736
Fax: (888) 812-7934
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1962781047
Entity typeIndividual (Type 1)
GenderMale
Credentials CPED
Sole proprietorYes
NPI enumeratedAugust 8, 2011
Last updated in NPPESAugust 8, 2011

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