Individual provider Active NPI

Stephen G. Bissette, MD

  • Family Medicine Physician
  • Yadkinville, NC
National Provider Identifier
1073592903
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
009601231 Issued in NC
Practice address
301 E Lee Ave
Yadkinville, NC 27055-8132
Phone
(336) 679-2661
Fax
(336) 679-7056
NPI assigned
Jan 10, 2006
Last updated
Feb 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 009601231 NC Primary

Addresses

Primary practice location

301 E Lee Ave
Yadkinville, NC 27055-8132

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

100 Robinhood Medical Plz
Bldg 100
Winston Salem, NC 27106-5472
Phone (336) 718-0800

Other practice location 2

165 Lowes Foods Dr
Lewisville, NC 27023-8258
Phone (336) 893-2270

Other identifiers 1

IdentifierTypeStateIssuer
8911055MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sbissette16145@direct.novanthealth.org

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100304000365 NC Practitioner - Family Practice 9638214422 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forsyth Memorial Hospital IncGroup PAC ID 9537071790, 622 clinicians

Practice addresses (Care Compare)

100 Robinhood Medical PLZ
Winston Salem, NC 27106-5476
Phone (336) 718-0800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
009601231NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forsyth Memorial Hospital, Inc. Family Medicine Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Forsyth Memorial Hospital Inc Family Medicine CurrentSince Dec 26, 2024 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 20, 2023 Accepting new patients
Forsyth Memorial Hospital, Inc Past Accepting new patients

Locations

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

6915 Village Medical Cir
Clemmons, NC 27012
Phone (336) 718-1680

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

1225 Lewisville Clemmons Rd
Lewisville, NC 27023
Phone (336) 712-0700

100 Robinhood Medical Plz
Winston Salem, NC 27106
Phone (336) 718-0560

100 Robinhood Medical Plz
Bldg 100
Winston Salem, NC 27106
Phone (336) 718-0800

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

305 E Lee Ave
Yadkinville, NC 27055
Phone (336) 679-2661

Interoperability endpoints

  • Direct secure messaging: sbissette16145@direct.novanthealth.org
  • Direct secure messaging: stephen.bissette.1@17957.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1073592903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E LEE AVE",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270558132",
            "telephone_number": "336-679-2661",
            "fax_number": "336-679-7056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Robinhood Medical Plz",
            "address_2": "Bldg 100",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271065472",
            "country_code": "US",
            "telephone_number": "336-718-0800",
            "fax_number": "336-718-0871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "165 Lowes Foods Dr",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "NC",
            "postal_code": "270238258",
            "country_code": "US",
            "telephone_number": "336-893-2270",
            "fax_number": "336-893-2279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISSETTE",
        "first_name": "STEPHEN",
        "middle_name": "G.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "009601231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8911055",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbissette16145@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "100 Robinhood Medical Plz",
            "address_2": "Bldg 100",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271065472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yadkinville, NC

Sources for this page

Verify at the official NPI Registry.