Active NPI
Clarence Earl Lloyd Jr., M.D.
- Diagnostic Ultrasound Physician
- Winston-Salem, NC
National Provider Identifier
1366405417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- License
- 19366
- Practice address
- 190 Kimel Park Dr
VA Outpatient Clinic
Winston-Salem, NC 27103-6946 - Phone
- (336) 768-3296
- Fax
- (336) 760-5481
- NPI assigned
- Apr 10, 2006
- 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 19366 | NC | |
| Body Imaging Physician | 2085B0100X | 19366 | NC | |
| Neuroradiology Physician | 2085N0700X | 19366 | NC | |
| Nuclear Radiology Physician | 2085N0904X | 19366 | NC | |
| Pediatric Radiology Physician | 2085P0229X | 19366 | NC | |
| Therapeutic Radiology Physician | 2085R0203X | 19366 | NC | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 19366 | NC | |
| Diagnostic Ultrasound Physician | 2085U0001X | 19366 | NC | Primary |
Addresses
Primary practice location
190 Kimel Park Dr
VA Outpatient Clinic
Winston-Salem, NC 27103-6946
Mailing address
4503 Brookhaven Dr
Greensboro, NC 27406-9345
Phone (336) 674-7824
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19366 | NC | MD | Diagnostic Ultrasound Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of Veterans Affairs | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1073863197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1366405417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4503 BROOKHAVEN DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274069345",
"telephone_number": "336-674-7824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 KIMEL PARK DR",
"address_2": "VA OUTPATIENT CLINIC",
"city": "WINSTON-SALEM",
"state": "NC",
"postal_code": "271036946",
"telephone_number": "336-768-3296",
"fax_number": "336-760-5481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LLOYD",
"first_name": "CLARENCE",
"middle_name": "EARL",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "19366",
"primary": false
},
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "NC",
"license": "19366",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "NC",
"license": "19366",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "NC",
"license": "19366",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "NC",
"license": "19366",
"primary": false
},
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "NC",
"license": "19366",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NC",
"license": "19366",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "NC",
"license": "19366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston-Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.