Ryan Phillip Macdonald

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2026-02434 Issued in NC

Practice address

6630 Shallowford Rd
Lewisville, NC 27023-9504

Phone

(336) 716-3155

NPI assigned

Apr 3, 2023

Last updated

Oct 13, 2026By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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 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": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1023713716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6630 SHALLOWFORD RD",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270239504",
            "telephone_number": "336-716-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6630 SHALLOWFORD RD",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270239504",
            "telephone_number": "336-716-3155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1920 W 1st St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271044220",
            "country_code": "US",
            "telephone_number": "336-716-4479",
            "fax_number": "336-716-9129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "RYAN",
        "middle_name": "PHILLIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-03",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2026-02434",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liner, Ward & Shobe DDS, PA (Southern Dental Associates)
• Kimberly Jean Lis, MD
• Jennifer B Locklear, NCC, LPCS, LCAS, CSI
• Londry, Modlin, Tucker V DDS PLLC (Lewisville Pediatric Dentistry)
• Love Still Matter Homecare, LLC
• Sarah Macreynolds, LCSW
• Sara James Migliarese, PT, MS, NCS
• Sharon Johnson Montecalvo, MA, LPC
• Laura Beth Moraitis, PA
• Angela M Morris, MD

• Family Medicine Physician in Lewisville, NC
• Providers in Lewisville, 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 Oct 13, 2026; 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.