Active NPI
Jerald Luke Winter, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 9701660
- Practice address
- 195 Kimel Park Dr Ste 200
Winston Salem, NC 27103-6967 - Phone
- (336) 768-6211
- NPI assigned
- May 1, 2006
- Last updated
- Aug 7, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 9701660 | NC | Primary |
Addresses
Primary practice location
195 Kimel Park Dr Ste 200
Winston Salem, NC 27103-6967
Mailing address
513 Eagles Nest CT
Winston-Salem, NC 27127-6787
Phone (336) 784-8285
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891340E | Medicaid | NC |
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
- Pathology
- Education
- Wake Forest University School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
195 Kimel Park Dr
Suite 200
Winston Salem, NC 27103-5663
195 Kimel Park Dr
Suite 200
Winston Salem, NC 27103-6967
Phone (336) 768-6211
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.48 of 100
- Quality
- 81.46
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.8
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Digestive Health Specialists, PA | Current | Accepting new patients | |
| Digestive Health Specialists, PA | Current | Accepting new patients | |
| Bestpractices of North Carolina, Inc. | Past | Accepting new patients | |
| Sterling Emergency Services of the Southeast, Inc | Past | Accepting new patients | |
| Bestpractices of North Carolina PC | Past | Accepting new patients |
Locations
402 W King St
King, NC 27021
Phone (336) 529-4304
195 Kimel Park Dr
Ste 200
Winston Salem, NC 27103
Phone (336) 397-5264
2025 Frontis Plaza Blvd
Ste 200
Winston Salem, NC 27103
Phone (336) 768-6621
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.
-
- Gastroenterology Physician
- Winston Salem, NC
- NPI 1801837745
-
- Ambulatory Surgical Clinic/Center
- King, NC
- NPI 1912476367
-
- Emergency Medicine Physician
- Smithfield, NC
- NPI 1770560591
-
- Emergency Medicine Physician
- North Wilkesboro, NC
- NPI 1225023286
-
- Emergency Medicine Physician
- Salisbury, NC
- NPI 1770541245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1245297316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 EAGLES NEST CT",
"city": "WINSTON-SALEM",
"state": "NC",
"postal_code": "271276787",
"telephone_number": "336-784-8285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 KIMEL PARK DR STE 200",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036967",
"telephone_number": "336-768-6211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINTER",
"first_name": "JERALD",
"middle_name": "LUKE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NC",
"license": "9701660",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891340E",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
- Winston-Salem Operating Al, LLC
- Winston-Salem State University (WSSU Sports Medicine)
- Winston-Salem State University
- Winston-Salem Womancare, P.a.
- Gillian Grace Winter, NP-C
- Lindsey Winter, RBT
- Sarah Katherine Winter, PA-C
- Kate Elise Winterbottom, MS, MPH, CCC-SLP
- Daniel Winters, M.D.
- Emma Winters, RBT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.