Individual provider Active NPI

Courtney Sams Hughes, PA

  • Physician Assistant
  • Winston Salem, NC
National Provider Identifier
1083802557
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-01041 Issued in NC
Practice address
100 Robinhood Medical PLZ
Winston Salem, NC 27106-5472
Phone
(336) 718-0800
Fax
(336) 718-0871
NPI assigned
Oct 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-01041 NC Primary

Addresses

Primary practice location

100 Robinhood Medical PLZ
Winston Salem, NC 27106-5472

Mailing address

PO Box 751803
Charlotte, NC 28275-1803
Phone (336) 718-0800

Other practice location 1

3333 Brookview Hills Blvd
Suite 204
Winston Salem, NC 27103-5661
Phone (336) 774-3740

Other identifiers 2

IdentifierTypeStateIssuer
1077356OtherNCCPA
8101864MedicaidNC

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address chughes4867@direct.novanthealth.org
Direct Messaging Address CHUGHES4867@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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080130000726 NC Practitioner - Physician Assistant 1052493913 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
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 27106-5472
Phone (336) 718-0800

291 Broad St
Kernersville, NC 27284-2932
Phone (336) 993-8181

6301 Stadium Dr
Clemmons, NC 27012-8766
Phone (336) 766-6473

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-01041NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Forsyth Memorial Hospital, Inc. CurrentSince Aug 14, 2011 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Aug 14, 2011 Accepting new patients
Novant Health Medical Group, LLC CurrentSince May 22, 2023 Accepting new patients
Novant Medical Group, Inc. CurrentSince May 22, 2023 Accepting new patients
Forsyth Memorial Hospital, Inc Past Accepting new patients

Locations

517 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 384-1406

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

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

600 Highland Oaks Dr
Winston Salem, NC 27103
Phone (366) 774-0040

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

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

3333 Brookview Hills Blvd
Ste 204
Winston Salem, NC 27103
Phone (336) 714-2730

Interoperability endpoints

  • Direct secure messaging: chughes4867@direct.novanthealth.org

Organizations & group practices 7

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 2

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": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1083802557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751803",
            "telephone_number": "336-718-0800",
            "fax_number": "336-718-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ROBINHOOD MEDICAL PLZ",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271065472",
            "telephone_number": "336-718-0800",
            "fax_number": "336-718-0871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Brookview Hills Blvd",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271035661",
            "country_code": "US",
            "telephone_number": "336-774-3740",
            "fax_number": "336-774-3780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "COURTNEY",
        "middle_name": "SAMS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-10",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-01041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1077356",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8101864",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chughes4867@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "3333 Brookview Hills Blvd",
            "address_2": "Suite 204",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271035661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CHUGHES4867@DIRECT.NOVANTHEALTH.ORG",
            "affiliation": "N",
            "address_1": "100 Robinhood Medical Plz",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271065472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.