Individual provider Active NPI

Paul David McClain, M.D.

  • Urology Physician
  • Winston Salem, NC
National Provider Identifier
1235470261
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
2022-00751 Issued in NC
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

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220602002216 NC Practitioner - Urology 7012217516 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Stone Center PLLCGroup PAC ID 2961315718, 71 clinicians
Forsyth Memorial Hospital IncGroup PAC ID 9537071790, 622 clinicians

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 Hospital, Winston-Salem, NC, CCN 340014
  • Novant Health Medical Park Hospital Hospital, Winston-Salem, NC, CCN 340148

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Jun 1, 2022 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Jun 1, 2022 Accepting new patients
Novant Health Medical Group, LLC Urology CurrentSince Jun 1, 2022 Accepting new patients
Piedmont Stone Center PLLC Urology CurrentSince Sep 1, 2022 Accepting new patients
Forsyth Memorial Hospital Inc Urology CurrentSince Jun 1, 2022 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.