NPIMap

Individual provider Active NPI

Mia Yang, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Winston Salem, NC
National Provider Identifier
1316236649
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
2016-00144 Issued in NC
Practice address
Internal Medicine Section on Gerontology &
1St Floor Sticht Center, Medical Center Boulevard
Winston Salem, NC 27157-0001
Phone
(336) 713-8583
Fax
(336) 716-0427
NPI assigned
Apr 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 2016-00144 NC Primary

Addresses

Primary practice location

Internal Medicine Section on Gerontology &
1St Floor Sticht Center, Medical Center Boulevard
Winston Salem, NC 27157-0001

Mailing address

Internal Medicine Section on Gerontology &
1St Floor Sticht Center, Medical Center Boulevard
Winston Salem, NC 27157-0001
Phone (336) 713-8583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161012001845 NC Practitioner - Geriatric MedicinePractitioner - Internal Medicine 0345499190 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians
Carolinas Medical CenterGroup PAC ID 4789597477, 1,057 clinicians

Practice addresses (Care Compare)

1225 Harding PL
Suite 4100
Charlotte, NC 28204-2826
Phone (704) 377-9323

315 Medical Park Dr
Suite 202
Concord, NC 28025-2973
Phone (704) 403-1911

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2016-00144NCMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Aug 17, 2025 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Aug 17, 2025 Accepting new patients
Wake Forest University Health Sciences CurrentSince Sep 12, 2016 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Aug 17, 2025 Accepting new patients
Carolinas Medical Center Current Accepting new patients
Carolinas Medical Center CurrentSince Aug 17, 2025 Accepting new patients
Carolinas Medical Center CurrentSince Aug 17, 2025 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Aug 17, 2025 Accepting new patients

Locations

1225 Harding Pl
Ste 4200
Charlotte, NC 28204
Phone (704) 446-1900

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

1225 Harding Pl
Ste 4100
Charlotte, NC 28204
Phone (704) 377-9323

315 Medical Park Dr
Ste 202
Concord, NC 28025
Phone (704) 262-1911

200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: myang2754881@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 10

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 14

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

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1316236649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "INTERNAL MEDICINE SECTION ON GERONTOLOGY &",
            "address_2": "1ST FLOOR STICHT CENTER, MEDICAL CENTER BOULEVARD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-713-8583",
            "fax_number": "336-716-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "INTERNAL MEDICINE SECTION ON GERONTOLOGY &",
            "address_2": "1ST FLOOR STICHT CENTER, MEDICAL CENTER BOULEVARD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-713-8583",
            "fax_number": "336-716-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "MIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-07",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NC",
            "license": "2016-00144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.