Samuel Carl Newsome, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20171 Issued in NC

Practice address

304 Mountain View Rd
King, NC 27021-8768

Phone

(336) 716-2255

Fax

(336) 983-6921

NPI assigned

Aug 16, 2005

Last updated

Jan 26, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: samuel.newsome@phspch.eclinicaldirectplus.com

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

• Wake Forest University Baptist Medical Center Community Physicians

  dba King Family Practice

  • Family Medicine Physician
  • King, NC
  • NPI 1972596211
  NPD (past)
• Wake Forest University Health Sciences

  • Multi-Specialty Clinic/Center
  • Winston Salem, NC
  • NPI 1003803032
  NPD (past)

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1023000239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 344",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271020344",
            "telephone_number": "336-716-2255",
            "fax_number": "336-983-6921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 MOUNTAIN VIEW RD",
            "city": "KING",
            "state": "NC",
            "postal_code": "270218768",
            "telephone_number": "336-716-2255",
            "fax_number": "336-983-6921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSOME",
        "first_name": "SAMUEL",
        "middle_name": "CARL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "20171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8962422",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Vincent Monteith, DDS
• Mary Austin Moore, MS, CRC, LCMHCA
• Donald Scott Morton
• Jody Lynn Nash, LPCA, LCASA
• Austin Newsom, PHARMD
• James Corey Norman
• North Carolina CVS Pharmacy LLC (CVS Pharmacy #07354)
• Novant Health Medical Group, LLC (Novant Health Mountainview Medical Extended Care)
• Novant Health Medical Group, LLC (Novant Health Orthopedics & Sports Medicine)
• Novant Health Medical Group, LLC (Novant Health Pediatric Cardiology)

• Family Medicine Physician in King, NC
• Providers in King, 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 Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.