Active NPI
Douglas Lee Metcalf, M.D.
- Rheumatology Physician
- Winston Salem, NC
National Provider Identifier
1205830734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 20939
- Practice address
- 1551 Westbrook Plaza Dr
Suite 200
Winston Salem, NC 27103-1355 - Phone
- (336) 277-0361
- NPI assigned
- Jun 13, 2005
- Reactivated
- Mar 20, 2006
- Last updated
- Dec 27, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 20939 | NC | Primary |
Addresses
Primary practice location
1551 Westbrook Plaza Dr
Suite 200
Winston Salem, NC 27103-1355
Mailing address
PO Box 751803
Charlotte, NC 28275-1803
Phone (336) 277-0361
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8958734 | Medicaid | NC | |
| 1205830734 | Medicaid | VA | |
| 58734 | Other | NC | BLUE CROSS ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20939 | NC | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Medical Group Inc | Rheumatology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Novant Health Metcalf Rheumatolgy
- Rheumatology Physician
- Winston Salem, NC
- NPI 1720228158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482796800000",
"number": "1205830734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751803",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751803",
"telephone_number": "336-277-0361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1551 WESTBROOK PLAZA DR",
"address_2": "SUITE 200",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271031355",
"telephone_number": "336-277-0361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METCALF",
"first_name": "DOUGLAS",
"middle_name": "LEE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2016-12-27",
"deactivation_date": "2006-03-16",
"reactivation_date": "2006-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "NC",
"license": "20939",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8958734",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1205830734",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS ID",
"identifier": "58734",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.