Individual provider Active NPI

Justin Trevor Little, MD

  • Diagnostic Radiology Physician
  • Winston Salem, NC
National Provider Identifier
1083260509
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2025-01060 Issued in NC
Practice address
One Medical Center Blvd
Winston Salem, NC 27157-0001
Phone
(336) 716-6410
NPI assigned
Aug 12, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2025-01060 NC Primary

Addresses

Primary practice location

One Medical Center Blvd
Winston Salem, NC 27157-0001

Mailing address

One Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-6410

Other practice location 1

1814 Westchester Dr Ste 100
High Point, NC 27262-7369
Phone (336) 802-2397

Other practice location 2

809 82nd Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 692-4403

Other practice location 3

1250 E 66th St
Savannah, GA 31404-5704
Phone (770) 500-5269

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
I20251030000563 NC Practitioner - Diagnostic Radiology 9638593254 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Mercer University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Forest Baptist Imaging LLCGroup PAC ID 3173681681, 76 clinicians

Practice addresses (Care Compare)

265 Executive Park Blvd
Winston Salem, NC 27103-1503
Phone (336) 765-5722

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2025-01060NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Baptist Imaging, LLC Diagnostic Radiology CurrentSince Aug 22, 2025 Accepting new patients
Wake Forest Health Network, LLC CurrentSince Feb 4, 2026 Accepting new patients
Wake Forest Baptist Imaging, LLC Diagnostic Radiology CurrentSince Aug 22, 2025 Accepting new patients
Wake Forest University Health Sciences CurrentSince Jul 31, 2025 Accepting new patients
Wake Forest Health Network LLC Diagnostic Radiology CurrentSince Feb 4, 2026 Accepting new patients

Locations

223 W Ward St
#B
Asheboro, NC 27203

223 W Ward St
Ste B
Asheboro, NC 27203
Phone (336) 702-1731

1814 Westchester Dr
Ste 100
High Point, NC 27262
Phone (336) 802-2397

265 Executive Park Blvd
Winston Salem, NC 27103
Phone (336) 765-5722

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

2295 E 14th St
Ste 500
Winston Salem, NC 27105
Phone (336) 713-4485

Interoperability endpoints

  • Direct secure messaging: jlittle2756008@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1083260509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-6410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1814 Westchester Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272627369",
            "country_code": "US",
            "telephone_number": "336-802-2397",
            "fax_number": "336-802-2681",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "809 82nd Pkwy",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295724607",
            "country_code": "US",
            "telephone_number": "843-692-4403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 E 66th St",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314045704",
            "country_code": "US",
            "telephone_number": "770-500-5269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "JUSTIN",
        "middle_name": "TREVOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-12",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2025-01060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.