Individual provider Active NPI

John Conrad Withrow, FNP-BC

  • Family Nurse Practitioner
  • Archdale, NC
National Provider Identifier
1235538836
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
246053 Issued in NC
Practice address
207 Balfour Dr
Ste 102
Archdale, NC 27263-3532
Phone
(336) 875-8134
NPI assigned
Aug 19, 2014
Sex
Male
Sole proprietor
No

Organizations & group practices 15

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 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DLP Maria Parham Physician Practices LLC 54 clinicians

Practice addresses (Care Compare)

100 Hospital Dr
Louisburg, NC 27549-2256
Phone (252) 436-4143

120 Charles Rollins Rd
Henderson, NC 27536-2882

Hospital & facility affiliations

  • Deltaplus Home Healthcare LLC Home health agency, Las Vegas, NV, CCN 297345
  • Maria Parham Medical Center Hospital, Henderson, NC, CCN 340132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20150113002055 NC Practitioner - Nurse Practitioner 7911221353 Reassigns benefits to 3 organizations
I20210114000636 NV Practitioner - Nurse Practitioner 7911221353 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
246053NCMDFamily Nurse Practitioner
PHYSICIAN-ERASNCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Maria Parham Physician Practices LLC CurrentSince Apr 30, 2019 Accepting new patients
DLP Maria Parham Physician Practices, LLC Current Accepting new patients
Moses Cone Physician Services, Inc. CurrentSince Apr 24, 2020 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Apr 24, 2020 Accepting new patients
DLP Maria Parham Physician Practices LLC CurrentSince Apr 30, 2019 Accepting new patients
Encore Medical Health Services LLC CurrentSince May 1, 2025 Accepting new patients
Top Priority Care Services, LLC. CurrentSince Jan 1, 2019 Accepting new patients
Encore Wound Care PLLC Current Accepting new patients
Southwest Wound Management LLC CurrentSince Nov 1, 2025 Accepting new patients
Serenity Counseling LLC CurrentSince Sep 15, 2020 Accepting new patients
Crest Valley Home Health LLC PastSince Jan 5, 2025 Accepting new patients
Uwharrie Medical Center, PA PastSince Dec 29, 1997 Accepting new patients

Locations

700 Walter Reed Dr
Greensboro, NC 27403
Phone (336) 832-9600

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

120 Charles Rollins Rd
Ste 105
Henderson, NC 27536
Phone (252) 438-2773

100 Hospital Dr
Louisburg, NC 27549
Phone (252) 438-4143

4401 Providence Ln
#121
Winston Salem, NC 27106
Phone (336) 896-1323

2235 E Flamingo Rd
Ste 142
Las Vegas, NV 89119
Phone (702) 575-9558

6048 S Durango Dr
Ste 115
Las Vegas, NV 89113
Phone (702) 815-1554

2626 S Rainbow Blvd
Ste 203E
Las Vegas, NV 89146
Phone (702) 377-5810

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X PHYSICIAN-ERAS NC
Family Nurse Practitioner 363LF0000X 246053 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

207 Balfour Dr
Ste 102
Archdale, NC 27263-3532

Mailing address

207 Balfour Dr
Ste 102
Archdale, NC 27263-3532
Phone (336) 875-8134

Other names 1

NPPES NPI Registry
  • Conrad Withrow Professional name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 9, 2025.

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1235538836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 BALFOUR DR",
            "address_2": "STE 102",
            "city": "ARCHDALE",
            "state": "NC",
            "postal_code": "272633532",
            "telephone_number": "336-875-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 BALFOUR DR",
            "address_2": "STE 102",
            "city": "ARCHDALE",
            "state": "NC",
            "postal_code": "272633532",
            "telephone_number": "336-875-8134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHROW",
        "first_name": "JOHN",
        "middle_name": "CONRAD",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-19",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "PHYSICIAN-ERAS",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "246053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONRAD",
            "last_name": "WITHROW",
            "credential": "FNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Archdale, NC

Sources for this page

Verify at the official NPI Registry.