Organization Active NPI

Westwood Medical PC

  • Family Medicine Physician
  • Mount Airy, NC
National Provider Identifier
1417303629
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WESTWOOD MEDICAL PC
Practice address
1201 W Lebanon St
Mount Airy, NC 27030-2227
Phone
(336) 648-8154
NPI assigned
May 5, 2016
Last updated
Jan 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Authorized official

Name
Mr. Edward Leon McDowell, PA-CNPI 1457352353
Title
Owner
Phone
(336) 648-8154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1201 W Lebanon St
Mount Airy, NC 27030-2227

Mailing address

1201 W Lebanon St
Mount Airy, NC 27030-2227
Phone (336) 648-8154

Other practice location 1

525 Samaritans Ridge Ct
Elkin, NC 28621-2457
Phone (336) 258-2151

Other practice location 2

3535 Randolph Rd Ste 208
Charlotte, NC 28211-1082
Phone (336) 258-2151

Other identifiers 1

IdentifierTypeStateIssuer
1417303629MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191029000472 NC Part B Supplier - Clinic/Group Practice 4587942677 Receives reassigned benefits from 4 practitioners
Practice locations: Elkin, NC; Mount Airy, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2297793Westwood Medical Elkin3535 Randolph Rd, Suite 208, Charlotte, NC 28211ComplianceJan 20, 2028

National Provider Directory

National Provider Directory

Locations

3535 Randolph Rd
Ste 208
Charlotte, NC 28211
Phone (704) 442-9805

505 Samaritans Ridge Ct
#100
Elkin, NC 28621
Phone (336) 258-2151

1201 W Lebanon St
Mount Airy, NC 27030
Phone (336) 648-8154

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767312000000",
    "number": "1417303629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W LEBANON ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270302227",
            "telephone_number": "336-648-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W LEBANON ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270302227",
            "telephone_number": "336-648-8154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Samaritans Ridge Ct",
            "address_purpose": "LOCATION",
            "city": "Elkin",
            "state": "NC",
            "postal_code": "286212457",
            "country_code": "US",
            "telephone_number": "336-258-2151",
            "fax_number": "336-258-2925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3535 Randolph Rd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282111082",
            "country_code": "US",
            "telephone_number": "336-258-2151",
            "fax_number": "336-258-2925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WESTWOOD MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-05",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A",
        "authorized_official_last_name": "MCDOWELL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-648-8154",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417303629",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.