NPIMap

Individual provider Active NPI

Nicholas Oliver McLean, MD

  • Nephrology Physician
  • Winston Salem, NC
National Provider Identifier
1205193331
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
201501217 Issued in NC
Practice address
3333 Brookview Hills Blvd Ste 105
Winston Salem, NC 27103-5661
Phone
(336) 768-2425
NPI assigned
Apr 13, 2012
Last updated
Aug 23, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 201501217 NC Primary

Addresses

Primary practice location

3333 Brookview Hills Blvd Ste 105
Winston Salem, NC 27103-5661

Mailing address

3333 Brookview Hills Blvd Ste 105
Winston Salem, NC 27103-5661
Phone (336) 768-2425

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nmclean441376@direct.novanthealth.org w scott moore et al ptr

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
I20170920001628 NC Practitioner - NephrologyPractitioner - Internal Medicine 1456668086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
W Scott Moore Et Al PTRGroup PAC ID 2365426483, 12 clinicians

Practice addresses (Care Compare)

233 Anna Lewis Dr
Lexington, NC 27292-6711
Phone (336) 768-2425

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201501217NCMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates, P.L.L.C. CurrentSince Feb 6, 2022 Accepting new patients
W Scott Moore Et Al PTR Nephrology CurrentSince Aug 1, 2017 Accepting new patients

Locations

233 Anna Lewis Dr
Lexington, NC 27292
Phone 33624868085

10 Laura Ln
Thomasville, NC 27360
Phone (336) 472-4500

1219 Lexington Ave
Ste D
Thomasville, NC 27360
Phone (336) 475-0200

3333 Brookview Hills Blvd
Ste 105
Winston Salem, NC 27103
Phone (336) 765-1464

730 Highland Oaks Dr
Winston Salem, NC 27103
Phone (336) 646-7323

730 Highland Oaks Dr
Ste 201
Winston Salem, NC 27103
Phone (336) 768-2425

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1205193331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 BROOKVIEW HILLS BLVD STE 105",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035661",
            "telephone_number": "336-768-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 BROOKVIEW HILLS BLVD STE 105",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035661",
            "telephone_number": "336-768-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "NICHOLAS",
        "middle_name": "OLIVER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-13",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "201501217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nmclean441376@direct.novanthealth.org",
            "affiliation": "Y",
            "affiliationName": "w scott moore et al ptr",
            "address_1": "3333 Brookview Hills Blvd Ste 105",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271035661",
            "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.