Active NPI
Adam Lee East, NP-C
- Nurse Practitioner
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5006084
- Practice address
- 170 Kimel Park Dr
Winston Salem, NC 27103 - Phone
- (704) 323-2000
- NPI assigned
- Feb 26, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 5006084 | NC | |
| Nurse Practitioner | 363L00000X | 5006084 | NC | Primary |
Addresses
Primary practice location
170 Kimel Park Dr
Winston Salem, NC 27103
Mailing address
4601 Park Rd Ste 300
Charlotte, NC 28209-2290
Phone (704) 323-2000
Other practice location 1
1345 Westgate Center Dr
Suite B
Winston Salem, NC 27103-3040
Phone (336) 765-1571
Other practice location 2
1345 Westgate Center Dr
Suite B
Winston Salem, NC 27103-3040
Phone (336) 765-1571
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1766K | Other | NC | BLUE CROSS AND BLUE SHIELD OF NC |
| 397730042 | Other | NC | NSC # |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
170 Kimel Park Dr
Winston Salem, NC 27103-6946
Phone (704) 323-2276
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthocarolina | Current | Accepting new patients | |
| Orthocarolina, PA | Current | Accepting new patients | |
| Orthocarolina | Nurse Practitioner | Current | Accepting new patients |
| Orthocarolina | Past | Accepting new patients |
Locations
4601 Park Rd
Ste 300
Charlotte, NC 28209
Phone (704) 323-2090
1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000
402 W King St
King, NC 27021
Phone (336) 529-4304
170 Kimel Park Dr
Winston Salem, NC 27103
Phone (336) 765-7058
Organizations & group practices 4
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Hamlet, NC
- NPI 1578923595
-
- Orthopaedic Surgery Physician
- Indian Land, SC
- NPI 1619641453
-
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1104843978
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1447200233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535414400000",
"number": "1346580453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 PARK RD STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282092290",
"telephone_number": "704-323-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 KIMEL PARK DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "27103",
"telephone_number": "704-323-2000"
}
],
"practiceLocations": [
{
"address_1": "1345 Westgate Center Dr",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271033040",
"country_code": "US",
"telephone_number": "336-765-1571",
"fax_number": "336-659-0425",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1345 Westgate Center Dr",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271033040",
"country_code": "US",
"telephone_number": "336-765-1571",
"fax_number": "336-659-0425",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EAST",
"first_name": "ADAM",
"middle_name": "LEE",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-26",
"last_updated": "2018-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NC",
"license": "5006084",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5006084",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIELD OF NC",
"identifier": "1766K",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NSC #",
"identifier": "397730042",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
- Daniel Clark Eames
- Andrea Eanes, MSOT OTR/L
- James Frederick Earnhardt, MD
- Lou Ann Earnhardt, MSN, AGPCNP-BC
- East Coast Family Counseling Services, Inc
- Joy East, MCD, CCC-SLP
- Easter Seals Ucp North Carolina & Virginia, Inc.
- Easter Seals Ucp North Carolina & Virginia, Inc.
- Matthew Ryan Eastham, MD
- Steven Charles Eastlack, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.