Andrew Shipe Dothard, M.D.
Individual provider Active NPI Medical Oncology Physician · Winston Salem, NC
NPI 1164809232 · NPPES record last updated Jul 11, 2024
Key facts
- NPI
- 1164809232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Oncology Physician 207RX0202X
- License
- 2018-00411 (NC)
- Practice address
- 1010 Bethesda CT
Winston Salem, NC 27103-3019 - Phone
- (336) 277-8800
- Fax
- (336) 277-8850
- NPI assigned
- Apr 28, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Novant Health Thomasville Medical Center LLC
Forsyth Memorial Hospital Inc
Practice addresses (Care Compare)
1710 Kernersville Medical Pkwy
Suite 116
Kernersville, NC 27284-7156
Phone (336) 564-4170
1908 Caudle Dr
Suite 200
Mount Airy, NC 27030-4322
Phone (336) 783-6935
Hospital & facility affiliations
- Novant Health Thomasville Medical Center
- Novant Health Forsyth Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180717002060 | NC | Practitioner - Internal Medicine | 0648588707 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018-00411 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forsyth Memorial Hospital, Inc. | Current |
Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Novant Medical Group | Medical Oncology | Current |
Accepting new patients |
| Novant Health Thomasville Medical Center, LLC | Current |
Accepting new patients | |
| Novant Health Thomasville Medical Center, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current |
Accepting new patients | |
| Novant Health Thomasville Medical Center LLC | Current |
Accepting new patients | |
| Novant Health Medical Group Coastal Region, LLC | Past | Accepting new patients |
Locations
200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424
6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473
3515 W Market St
Ste 300
Greensboro, NC 27403
Phone (336) 660-5540
1710 Kernersville Medical Pkwy
Ste 116
Kernersville, NC 27284
Phone (336) 564-4170
1908 Caudle Dr
Ste 200
Mount Airy, NC 27030
Phone (336) 783-6935
207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000
1213 Lexington Ave
#B
Thomasville, NC 27360
Phone (336) 249-6632
175 Kimel Park Dr
Winston Salem, NC 27103
Phone (336) 718-1006
3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800
1010 Bethesda Ct
Winston Salem, NC 27103
Phone (336) 277-6000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2018-00411 | NC | |
| Medical Oncology Physician | 207RX0202X | 2018-00411 | NC | Yes |
Addresses
Primary practice location
1010 Bethesda CT
Winston Salem, NC 27103-3019
Mailing address
PO Box 935983
Atlanta, GA 31193-5983
Other practice location 1
1710 Kernersville Medical Pkwy Ste 116
Kernersville, NC 27284-7156
Phone (336) 564-4170
Other practice location 2
Medical Center Blvd
Watlington Hall, 3rd Floor
Winston Salem, NC 27157
Phone (336) 716-4305
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | adothard725169@direct.novanthealth.org | ||
| Direct Messaging Address | adothard725169@direct.novanthealth.org |
Other providers in Winston Salem, NC
- Althea Dortch
- Christa Danielle Dorton
- John Richard Dosek
- Amanda Jane Doss
- Jorie Doster
- Emily Hix Dothard
- Travis Lee Dotson
- James Kent Doub
- Mary Elizabeth Doub
- Susan Marie Reddick Doub
All providers in Winston Salem, NC · Medical Oncology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.