Individual provider Active NPI

Cecilie Macosko, MD

  • Family Medicine Physician
  • Winston Salem, NC
National Provider Identifier
1316075963
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200901328 Issued in NC
Practice address
100 Robinhood Medical PLZ
Winston Salem, NC 27106-5472
Phone
(336) 718-0800
Fax
(336) 718-0871
NPI assigned
Mar 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200901328 NC Primary

Addresses

Primary practice location

100 Robinhood Medical PLZ
Winston Salem, NC 27106-5472

Mailing address

PO Box 751803
Charlotte, NC 28275-1803
Phone (336) 721-2375

Other practice location 1

390 W Salem Ave
Winston Salem, NC 27101-5861
Phone (336) 721-2375

Other identifiers 1

IdentifierTypeStateIssuer
5913667MedicaidNC

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
I20091029000689 NC Practitioner - Family Practice 9739226366 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forsyth Memorial Hospital IncGroup PAC ID 9537071790, 622 clinicians

Practice addresses (Care Compare)

309 Pineywood Rd
Thomasville, NC 27360-3438
Phone (336) 475-8121

390 W Salem Ave
Winston Salem, NC 27101-5861
Phone (336) 721-2375

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200901328NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Medical Group, Inc. CurrentSince Dec 28, 2019 Accepting new patients
Forsyth Memorial Hospital Inc Family Medicine CurrentSince Oct 20, 2009 Accepting new patients
NH Digital Health Services, LLC CurrentSince Aug 24, 2021 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 28, 2019 Accepting new patients
Forsyth Memorial Hospital, Inc Family Medicine CurrentSince Mar 7, 2022 Accepting new patients
Forsyth Memorial Hospital, Inc. Family Medicine Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
NH Digital Health Services, LLC Family Medicine CurrentSince Aug 24, 2021 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Oct 20, 2009 Accepting new patients

Locations

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

1941 New Garden Rd
Ste 216
Greensboro, NC 27410
Phone (336) 288-8857

3515 W Market St
Ste 200
Greensboro, NC 27403
Phone (336) 660-5520

1226 Eastchester Dr
#200
High Point, NC 27265
Phone (336) 481-8610

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

1471 Jag Branch Blvd
Unit 103
Kernersville, NC 27284
Phone (336) 515-7410

216 Moore Rd
King, NC 27021
Phone (336) 768-1270

4705 S Highway 150
Ste Bc
Lexington, NC 27295
Phone (336) 481-1780

865 Westlake Dr
Mount Airy, NC 27030
Phone (336) 719-6100

4611 Yadkinville Rd
Pfafftown, NC 27040
Phone (336) 718-7600

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

903 Randolph St
Ste 1
Thomasville, NC 27360
Phone (336) 475-7163

309 Pineywood Rd
Thomasville, NC 27360
Phone (336) 474-8921

390 W Salem Ave
Winston Salem, NC 27101
Phone (336) 721-2375

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

10479 N NC Highway 109
Ste 107A
Winston Salem, NC 27107
Phone (336) 769-0246

100 Robinhood Medical Plz
Winston Salem, NC 27106
Phone (336) 718-0560

105 Vest Mill Cir
Winston Salem, NC 27103
Phone (336) 718-7800

4937 Old Country Club Rd
Winston Salem, NC 27104
Phone (336) 546-1666

2085 Frontis Plaza Blvd
Winston Salem, NC 27103
Phone (336) 277-7226

652 E Monmouth St
Winston Salem, NC 27107
Phone (336) 718-4390

Interoperability endpoints

  • Direct secure messaging: cmacosko5389@direct.novanthealth.org

Organizations & group practices 9

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 1

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1316075963",
    "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",
            "telephone_number": "336-721-2375",
            "fax_number": "336-721-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ROBINHOOD MEDICAL PLZ",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271065472",
            "telephone_number": "336-718-0800",
            "fax_number": "336-718-0871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "390 W Salem Ave",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271015861",
            "country_code": "US",
            "telephone_number": "336-721-2375",
            "fax_number": "336-721-2394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACOSKO",
        "first_name": "CECILIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200901328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5913667",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.