NPIMap

Individual provider Active NPI

Edwin Neal Shoemaker, MD

  • Obstetrics & Gynecology Physician
  • Winston Salem, NC
National Provider Identifier
1194221929
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2022-02314 Issued in NC
Practice address
245 Charlois Blvd
Winston Salem, NC 27103-1507
Phone
(336) 659-4777
Fax
(336) 659-4798
NPI assigned
Apr 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 2022-02314 NC Primary

Addresses

Primary practice location

245 Charlois Blvd
Winston Salem, NC 27103-1507

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220914003869 NC Practitioner - Obstetrics/Gynecology 3971850215 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLC 2,413 clinicians

Practice addresses (Care Compare)

245 Charlois Blvd
Winston Salem, NC 27103-1507
Phone (336) 659-4777

Hospital & facility affiliations

  • Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022-02314NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Obstetrics & Gynecology CurrentSince Aug 1, 2022 Accepting new patients
Obhg North Carolina, P.C. Obstetrics & Gynecology CurrentSince Jul 28, 2024 Accepting new patients
Novant Health Medical Group, LLC Obstetrics & Gynecology CurrentSince Aug 1, 2022 Accepting new patients

Locations

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

4130 Clemmons Rd
Clemmons, NC 27012
Phone (336) 277-1890

14330 Oakhill Park Ln
Ste 200
Huntersville, NC 28078
Phone (704) 316-1265

1730 Kernersville Medical Pkwy
Ste 104
Kernersville, NC 27284

108 W Medical Park Dr
Lexington, NC 27292
Phone (336) 243-7054

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

1302 Lexington Ave
Thomasville, NC 27360
Phone (336) 475-6139

656 E Monmouth St
Winston Salem, NC 27107
Phone (336) 718-4380

2909 Maplewood Ave
Winston Salem, NC 27103
Phone (336) 277-0340

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

114 Charlois Blvd
Winston Salem, NC 27103

245 Charlois Blvd
Winston Salem, NC 27103
Phone (336) 659-4777

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

2001 Todays Woman Ave
Winston Salem, NC 27105
Phone (336) 722-1818

Interoperability endpoints

  • Direct secure messaging: eshoemaker1066315@direct.novanthealth.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 1

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": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1194221929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 CHARLOIS BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031507",
            "telephone_number": "336-659-4777",
            "fax_number": "336-659-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "EDWIN",
        "middle_name": "NEAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-02",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2022-02314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.