Individual provider Active NPI

Charlene McCain Fleming, MD

  • Pediatrics Physician
  • Winston Salem, NC
National Provider Identifier
1235313081
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2009-00896 Issued in NC
Practice address
2933 Maplewood Ave Ste 1
Winston Salem, NC 27103-4001
Phone
(336) 379-9445
Fax
(336) 544-7180
NPI assigned
Dec 28, 2007
Last updated
Jul 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2009-00896 NC Primary

Addresses

Primary practice location

2933 Maplewood Ave Ste 1
Winston Salem, NC 27103-4001

Mailing address

100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Phone (336) 716-1331

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cfleming412567@direct.conehealth.com Direct

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
I20090901000478 NC Practitioner - Pediatric Medicine 4789739459 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009-00896NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Nov 1, 2009 Accepting new patients
Wake Forest Health Network, LLC Pediatrics CurrentSince Jul 5, 2023 Accepting new patients
Wake Forest Health Network LLC Pediatrics CurrentSince Jul 5, 2023 Accepting new patients
Wake Forest Health Network LLC Pediatrics Current Accepting new patients
Cornerstone Health Care LLC Past Accepting new patients

Locations

114 Kinderton Blvd
Bermuda Run, NC 27006
Phone (336) 418-1858

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

2295 E 14th St
Ste 100
Winston Salem, NC 27105
Phone (336) 713-8860

2933 Maplewood Ave
Winston Salem, NC 27103
Phone (336) 765-5553

2933 Maplewood Ave
Ste 1
Winston Salem, NC 27103
Phone (336) 379-9445

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

Interoperability endpoints

  • Direct secure messaging: cfleming2754686@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: cfleming412567@direct.conehealth.com

Organizations & group practices 5

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": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1235313081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KIMEL FOREST DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036074",
            "telephone_number": "336-716-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2933 MAPLEWOOD AVE STE 1",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034001",
            "telephone_number": "336-379-9445",
            "fax_number": "336-544-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "CHARLENE",
        "middle_name": "MCCAIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-28",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2009-00896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cfleming412567@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1816 Richardson Dr",
            "city": "Reidsville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "273205434",
            "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.