CHS NORTH CAROLINA MEDICAL, PC (NPI# 1619370400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619370400 |
| Entity Type | Organization |
| Organization Name | CHS NORTH CAROLINA MEDICAL, PC |
| Other Organization Name | RAI MEDICAL CENTER |
| Practice Address |
401 N Main St Winston Salem NC 27101-3804 |
| Mailing Address |
5500 Maryland Way Ste 200 Brentwood TN 37027-4948 |
| Practice Telephone | 3367415106 |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |
| Authorized Official Name | STUART CLARK (EXECUTIVE VP) |
| Authorized Official Telephone | 6155774927 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHS HEALTH SERVICES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| RAI Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336542133 | Chs North Carolina Medical, PC | General Practice | 7855 Doral Dr, Administrative Blvd 2nd Floor, Tobaccoville, NC 27050-9002 | 2014-10-07 |
| 1407259203 | Chs North Carolina Medical, PC | General Practice | 5500 Maryland Way, Ste 200, Brentwood, TN 37027-4948 | 2014-10-07 |
| 1023430113 | Chs North Carolina Medical, PC | General Practice | 6650 Ramsey St, Fayetteville, NC 28311-9318 | 2014-01-09 |
| Street Address |
401 N MAIN ST |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27101-3804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543976 | Mh Medical Services, PC | Nurse Practitioner | 401 N Main St, Winston Salem, NC 27101-3804 | 2019-11-25 |
| 1023469228 | Premise Health | Pharmacy | 401 N Main St, Winston Salem, NC 27101-3804 | 2016-06-29 |
| 1154383073 | Kristin A Teague | Specialist/Technologist | 401 N Main St, Winston Salem, NC 27101-3804 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421876 | Annie Carolina Mccollum | Occupational Therapist | 3 S Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2020-09-09 |
| 1891321337 | Philippe Ayres | Personal Emergency Response Attendant | 475 Vine St., Bowman Gray Center for Medical Education, Winston-salem, NC 27101 | 2020-03-17 |
| 1497385595 | Aereil Moore | Counselor | 655 West 4th St, Winston Salem, NC 27101 | 2020-01-17 |
| 1619519428 | Brandi Melissa Decriscio | Nurse Practitioner | 1200 N Martin Luther King Jr Drive, Winston-salem, NC 27101 | 2019-10-14 |
| 1316502909 | Burke Street Chiropractic, Pllc | Chiropractor | 1016 Burke St., Winston-salem, NC 27101 | 2019-05-08 |
| 1790349728 | Nakia Carter | Counselor | 1o1o W. Northwest Boulevard, Winston-salem, NC 27101 | 2019-04-25 |
| 1003391251 | Hannah Fortwengler Rainey | Nurse Anesthetist, Certified Registered | Medical Center Blvrd, Winston-salem, NC 27101 | 2018-10-03 |
| 1750875928 | Susan Wilhelm Patterson | Nurse Practitioner | 1200 Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2018-06-20 |
| 1194228049 | Anjanette Gilley Benjamin | Counselor | 650 Highland Ave Ste 1000, Winston Salem, NC 27101 | 2018-03-16 |
| 1376054627 | Paulisha Da-shawna Mcintyre | Social Worker | 650 Highland Ave Ste 101, Winston Salem, NC 27101 | 2017-10-13 |
| Find all providers in zip 27101 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790396059 | Healthworks Med Group of North Carolina P C | General Practice | 200 W 2nd St Fl 2, Winston Salem, NC 27101-4019 | 2020-08-11 |
| 1780061572 | Jack Samir Yazbeck | General Practice | Medical Center Blvd Dept of Surgery, Winston Salem, NC 27157-1021 | 2015-04-30 |
| 1275936064 | Chs North Carolina Medical, P.C. | General Practice | 950 Reynolds Blvd, Winston Salem, NC 27105-3450 | 2014-10-07 |
| 1255684130 | Timothy Clinard Pennell | General Practice | 5401 Covenant Ln, Winston Salem, NC 27106-6459 | 2012-10-17 |
| 1043470958 | William Samuel Otto | General Practice | 2705 Amesbury Rd, Winston Salem, NC 27103-6752 | 2008-06-13 |
| 1861510232 | Lari Calton Young | General Practice | 2512 Reynolda Rd, Winston Salem, NC 27106-4618 | 2007-03-26 |
| 1245678655 | David H Craig | General Practice | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2013-06-07 |
| 1639514938 | Martin Vander Burks Iv | General Practice | Medical Center Boulevard, Winston Salem, NC 27157-0816 | 2013-05-01 |
| 1417264615 | Healthworks Med Group of North Carolina P C | General Practice | 1000 E Hanes Mill Rd, Winston Salem, NC 27105-1384 | 2010-09-09 |
| 1215111828 | Carey Vastine Stabler | General Practice | 190 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2007-12-19 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27101 |
Please comment or provide details below to improve the information on CHS NORTH CAROLINA MEDICAL, PC.
| 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.