Individual provider Active NPI

Margaret Stokes Alden, MD

  • Pediatrics Physician
  • Kernersville, NC
National Provider Identifier
1225217094
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
201000169 Issued in NC
Practice address
1471 Jag Branch Blvd Unit 101
Kernersville, NC 27284-6963
Phone
(336) 515-7420
Fax
(336) 515-7430
NPI assigned
Oct 30, 2007
Last updated
Dec 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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 141253 NC
Pediatrics Physician 208000000X 201000169 NC Primary

Addresses

Primary practice location

1471 Jag Branch Blvd Unit 101
Kernersville, NC 27284-6963

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

1351 Westgate Center Dr
Winston Salem, NC 27103-2934
Phone (336) 718-7777

Other identifiers 1

IdentifierTypeStateIssuer
5914794MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MALDEN16480@DIRECT.NOVANTHEALTH.ORG

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190603002951 NC Practitioner - Pediatric Medicine 0840431037 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
141253NCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 3, 2021 Accepting new patients
Novant Health Medical Group, LLC Pediatrics CurrentSince Dec 3, 2021 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

1471 Jag Branch Blvd
Unit 101
Kernersville, NC 27284
Phone (336) 515-7420

1351 Westgate Center Dr
Winston Salem, NC 27103
Phone (336) 718-7777

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

Interoperability endpoints

  • Direct secure messaging: malden16480@direct.novanthealth.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1225217094",
    "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": "1471 JAG BRANCH BLVD UNIT 101",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272846963",
            "telephone_number": "336-515-7420",
            "fax_number": "336-515-7430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1351 Westgate Center Dr",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271032934",
            "country_code": "US",
            "telephone_number": "336-718-7777",
            "fax_number": "336-718-7744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALDEN",
        "first_name": "MARGARET",
        "middle_name": "STOKES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "141253",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "201000169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5914794",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MALDEN16480@DIRECT.NOVANTHEALTH.ORG",
            "affiliation": "N",
            "address_1": "1471 Jag Branch Blvd Unit 101",
            "city": "Kernersville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272846963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

Verify at the official NPI Registry.