Individual provider Active NPI

Linday S Peral, MD

  • Family Medicine Physician
  • Winston Salem, NC
National Provider Identifier
1114986403
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200301158 Issued in NC
Practice address
1834 Wake Forest Rd
George C Mackie Health Center
Winston Salem, NC 27109-6000
Phone
(336) 758-5218
Fax
(336) 758-6054
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 200301158 NC Primary

Addresses

Primary practice location

1834 Wake Forest Rd
George C Mackie Health Center
Winston Salem, NC 27109-6000

Mailing address

1834 Wake Forest Rd
George C Mackie Health Center
Winston Salem, NC 27109-6000
Phone (336) 758-5218

Other identifiers 1

IdentifierTypeStateIssuer
89137UYMedicaidNC

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
I20040928001331 NC Practitioner - Family Practice 2062481856

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: lperal2754273@carolinashealthcaresystem.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1114986403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 WAKE FOREST RD",
            "address_2": "GEORGE C MACKIE HEALTH CENTER",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271096000",
            "telephone_number": "336-758-5218",
            "fax_number": "336-758-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 WAKE FOREST RD",
            "address_2": "GEORGE C MACKIE HEALTH CENTER",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271096000",
            "telephone_number": "336-758-5218",
            "fax_number": "336-758-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERAL",
        "first_name": "LINDAY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200301158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89137UY",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.