Active NPI
Paul David McClain, M.D.
- Urology Physician
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 2022-00751
- Practice address
- 140 Kimel Park Dr Ste 100
Winston Salem, NC 27103-6185 - Phone
- (336) 245-2100
- Fax
- (336) 768-7782
- NPI assigned
- Mar 15, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Urology Physician | 208800000X | 0101256879 | VA | |
| Urology Physician | 208800000X | 2022-00751 | NC | Primary |
Addresses
Primary practice location
140 Kimel Park Dr Ste 100
Winston Salem, NC 27103-6185
Mailing address
PO Box 751803
Charlotte, NC 28275-1803
Other practice location 1
Naval Medical Center, 100 Brewster Blvd.
Camp Lejeune, NC 28547-2538
Phone (910) 450-4829
Other practice location 2
2010 Baldwin Ln
Winston Salem, NC 27103-5846
Phone (336) 277-1717
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1907 S Hawthorne Rd
103 104
Winston Salem, NC 27103-3916
Phone (336) 765-6373
2010 Baldwin LN
Winston Salem, NC 27103-5846
Phone (336) 277-1717
Hospital & facility affiliations
- Novant Health Forsyth Medical Center
- Novant Health Medical Park Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Urology | Current | Accepting new patients |
| Piedmont Stone Center PLLC | Urology | Current | Accepting new patients |
| Forsyth Memorial Hospital Inc | Urology | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc | Past | Accepting new patients |
Locations
6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473
7210 Village Medical Cir
Ste 225
Clemmons, NC 27012
Phone (336) 245-2100
291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181
1730 Kernersville Medical Pkwy
Ste 303
Kernersville, NC 27284
Phone (336) 564-4430
140 Kimel Park Dr
Ste 100
Winston Salem, NC 27103
Phone (336) 245-2100
1907 S Hawthorne Rd
#103104
Winston Salem, NC 27103
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
2010 Baldwin Ln
Winston Salem, NC 27103
Phone (336) 277-1717
1907 S Hawthorne Rd
Winston Salem, NC 27103
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Winston Salem, NC
- NPI 1104548874
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Urology Physician
- Winston Salem, NC
- NPI 1275736795
-
- Cardiovascular Disease Physician
- Winston Salem, NC
- NPI 1932935475
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Urology Physician
- Clemmons, NC
- NPI 1629720453
-
- Family Medicine Physician
- Mount Airy, NC
- NPI 1295783108
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1447200233
-
- General Acute Care Hospital
- Winston-Salem, NC
- NPI 1538111828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1235470261",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 KIMEL PARK DR STE 100",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036185",
"telephone_number": "336-245-2100",
"fax_number": "336-768-7782"
}
],
"practiceLocations": [
{
"address_1": "Naval Medical Center, 100 Brewster Blvd.",
"address_purpose": "LOCATION",
"city": "Camp Lejeune",
"state": "NC",
"postal_code": "285472538",
"country_code": "US",
"telephone_number": "910-450-4829",
"fax_number": "910-450-4865",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2010 Baldwin Ln",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271035846",
"country_code": "US",
"telephone_number": "336-277-1717",
"fax_number": "336-277-1718",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCLAIN",
"first_name": "PAUL",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-15",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "VA",
"license": "0101256879",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NC",
"license": "2022-00751",
"primary": true
}
],
"identifiers": [],
"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 Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.