NPIMap

Organization Active NPI

North Carolina Baptist Hospital

  • Rehabilitation Hospital Unit
  • Winston Salem, NC
National Provider Identifier
1114995677
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
H0011 Issued in NC
Legal business name
NORTH CAROLINA BAPTIST HOSPITAL
Practice address
Medical Center Blvd
Winston Salem, NC 27157-0001
Phone
(336) 716-3086
Fax
(336) 716-6203
NPI assigned
Mar 10, 2006
Last updated
Sep 25, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH CAROLINA BAPTIST HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Cathleen Wheatley, DNP, RN, CENP
Title
President, Ahwfb
Phone
(336) 713-3327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X H0011 NC Primary

Addresses

Primary practice location

Medical Center Blvd
Winston Salem, NC 27157-0001

Mailing address

Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-3539

Other identifiers 2

IdentifierTypeStateIssuer
001GVOtherNCBLUE CROSS BLUE SHIELD
3400047TMedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030623000026 NC Part A Provider - Hospital 6002725272 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Winston Salem, NC; Elkin, NC; Mount Airy, NC; Lexington, NC; Clemmons, NC; Bermuda Run, NC
O20120411000665 NC Part A Provider - Hospital 6002725272 Practice locations: Winston Salem, NC

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1114995677. Details of each certification follow.

Hospital certification: CCN 340047

Legal name
NORTH CAROLINA BAPTIST HOSPITAL
Doing business as
NORTH CAROLINA BAPTIST HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 28, 2011
Beds
885 (830 certified)
Ownership / control type
Private (not for profit)
Most recent change of ownership
Mar 2, 2024 (3 total)
Organization structure
CorporationNon-profit
Incorporated
Nov 20, 1997 in NC
Enrollment address
Medical Center Blvd
Winston Salem, NC 27157-0001
Main/Primary Hospital Location
Hospital subgroups
General, Psychiatric, Rehabilitation, Psychiatric unit, Rehabilitation unit

Hospital certification: CCN 34T047

Legal name
NORTH CAROLINA BAPTIST HOSPITAL
Organization structure
CorporationProprietary
Incorporated
Dec 27, 1992 in NC
Enrollment address
Medical Center Blvd
Winston Salem, NC 27157-0001
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
North Carolina Baptist HospitalCCN 340047 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
North Carolina Baptist HospitalsCCN 34T047 · All quality measures
Ownership
Non-profit
Certified
Jul 1, 2021

National Provider Directory

National Provider Directory
Tax ID family
North Carolina Baptist Hosp29 organizations share this tax ID, including this one
Part of
North Carolina Baptist Hosp

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ashley Carol Johnson Individual Corporate DirectorDirector Dec 15, 2024
Corporate Officer Jul 1, 2024
Sheree Watson Individual Corporate DirectorChair NCBH & Wfubmc Board Member Jan 1, 2014
Corporate Director Jan 1, 2011
Leigh E Boulware Individual Corporate OfficerBoard Member Jan 1, 2026
Cathleen Ann Marie Wheatley Individual Corporate Officer Jan 1, 2021
W-2 Managing Employee Jan 1, 2021
Corporate Director Jul 1, 2021
W-2 Managing Employee Jul 1, 2021
Stephen L Robertson Individual Corporate Director Jan 1, 2021
Wake Forest University Baptist Medical Center Organization, Winston Salem, NC Corporation, Non-profit Operational/Managerial Control Oct 9, 2020 50%
Frank Kolwezi Thomas Individual Corporate Officer Jan 1, 2024
Corporate Director Jan 1, 2024
North Carolina Baptist Hospital Organization, Winston Salem, NC Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Oct 9, 2020 100%
Atrium Health Inc Organization, Charlotte, NC Corporation Operational/Managerial Control Oct 9, 2020 50%
Advocate Health Inc Organization, Charlotte, NC Corporation, Non-profit Operational/Managerial Control Dec 2, 2022
Albert Herring Individual Corporate DirectorBoard Member, NCBH & Wfubmc Jan 1, 2013
Corporate Director Jun 30, 2016
Arthur Gibel Individual Corporate DirectorWfbmc Board & NCBH Board Vice Chair Jul 1, 2014
Corporate Director Jan 1, 2011
William Cecil Warden Individual Corporate OfficerNCBH Board Jan 1, 2014
Corporate DirectorWfbmc Board - Vice Chair Jul 1, 2015
Corporate Director Jul 1, 2018
Julie a Freischlag Individual Corporate OfficerEx Officio Jul 1, 2017

Owners & managing parties with NPI records 12

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wilkes Regional Medical CenterNorth Wilkesboro, NC, CCN 340064 Hospital 5% Or Greater Indirect Ownership Interest (40%) Oct 9, 2020
North Carolina Baptist HospitalWinston Salem, NC, CCN 340047 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 9, 2020
High Point Medical CenterHigh Point, NC, CCN 340004 Hospital 5% Or Greater Indirect Ownership Interest (40%) Oct 9, 2020
Lexington Medical CenterLexington, NC, CCN 340096 Hospital 5% Or Greater Indirect Ownership Interest (40%) Oct 9, 2020
High Point Medical CenterHigh Point, NC, CCN 34T004 Hospital 5% Or Greater Indirect Ownership Interest (40%) Oct 9, 2020
North Carolina Baptist HospitalWinston Salem, NC, CCN 34S047 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 9, 2020
North Carolina Baptist HospitalWinston Salem, NC, CCN 342304 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 9, 2020
Wilkes Regional Medical Center SNFNorth Wilkesboro, NC, CCN 345386 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (40%) Jul 1, 2017

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 96

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 96

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

Affiliated clinicians 2,495

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 2,495

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1114995677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-3539",
            "fax_number": "336-716-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-3086",
            "fax_number": "336-716-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CAROLINA BAPTIST HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH CAROLINA BAPTIST HOSPITAL",
        "enumeration_date": "2006-03-10",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "WHEATLEY",
        "authorized_official_first_name": "CATHLEEN",
        "authorized_official_title_or_position": "PRESIDENT, AHWFB",
        "authorized_official_telephone_number": "336-713-3327",
        "authorized_official_credential": "DNP, RN, CENP"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NC",
            "license": "H0011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001GV",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3400047T",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "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.