Individual provider Active NPI

Joseph McIlwain

  • Emergency Medicine Physician
  • Winston Salem, NC
National Provider Identifier
1225616659
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
1225616659 Issued in NC
Practice address
Medical Center Blvd
Winston Salem, NC 27157-0001
Phone
(336) 716-9253
NPI assigned
Mar 29, 2021
Last updated
Aug 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 1225616659 NC Primary

Addresses

Primary practice location

Medical Center Blvd
Winston Salem, NC 27157-0001

Mailing address

641 Zhender Dr
Tuscumbia, AL 35674-6100
Phone (256) 443-2270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240605000566 NC Practitioner - Emergency Medicine 5395145734 Reassigns benefits to 2 organizations
I20260129002243 AL Practitioner - Emergency Medicine 5395145734 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Alabama School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newgen Alabama Billing LLCGroup PAC ID 9133657208, 99 clinicians
Northwest Emergency Physician GroupGroup PAC ID 8628224425, 12 clinicians

Practice addresses (Care Compare)

1300 S Montgomery Ave
Sheffield, AL 35660-6334
Phone (256) 386-4196

1300 S Montgomery Ave
Sheffield, AL 35660-6367
Phone (256) 386-4196

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1225616659NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Jul 1, 2024 Accepting new patients
Newgen Alabama Billing LLC Emergency Medicine CurrentSince Oct 2, 2025 Accepting new patients
Lifebrite Hospital Group of Stokes, LLC Current Accepting new patients
Northwest Emergency Physician Group Emergency Medicine CurrentSince Oct 2, 2025 Accepting new patients
Lifebrite Hospital Group of Stokes, LLC CurrentSince Mar 22, 2024 Accepting new patients
Lifebrite Hospital Group of Stokes, LLC CurrentSince Mar 22, 2024 Accepting new patients

Locations

126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803

1300 S Montgomery Ave
Sheffield, AL 35660
Phone (256) 386-4005

1570 NC 8 and 89 Hwy N
Danbury, NC 27016
Phone (336) 593-2831

2005 Pisgah Church Rd
Greensboro, NC 27455
Phone (336) 701-2662

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Organizations & group practices 6

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 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": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1225616659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 ZHENDER DR",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356746100",
            "telephone_number": "256-443-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-9253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCILWAIN",
        "first_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-29",
        "last_updated": "2024-08-08",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "1225616659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.