Stephen Dana Knowlton, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

24923 Issued in NC

Practice address

601 W Harrison St
Reidsville, NC 27320-4621

Phone

(336) 349-7114

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Venessa Curlee

  • Family Nurse Practitioner
  • Asheboro, NC
  • NPI 1386238442
  Medicare reassignment
• Alison Marshall, ARNP

  • Adult Health Nurse Practitioner
  • Reidsville, NC
  • NPI 1033523626
  Medicare reassignment

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stephen Knowlton MD

  • Family Medicine Physician
  • Reidsville, NC
  • NPI 1659777282
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003969874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 330",
            "address_2": "601 W. HARRISON ST.",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273230330",
            "telephone_number": "336-349-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W HARRISON ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273204621",
            "telephone_number": "336-349-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLTON",
        "first_name": "STEPHEN",
        "middle_name": "DANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "24923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trina Serena Kidd-Simmons, TRANSPPRTION PROVIDE
• Patricia L. Kish, COF, CFM, CFTS
• Ebonie Kittrell, LCSWA
• Bethany Klein
• Amy Kimberly Knaperek, PHARMD
• James Chester Kopf Jr., MA/CCC-SLP
• Gokul Krishnan, MD
• Sethu NMN Krishnan, MD
• Laboratory Corporation of America Holdings
• Laboratory Corporation of America Holdings

• Family Medicine Physician in Reidsville, NC
• Providers in Reidsville, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.