Individual provider Active NPI

Victor Ebed Korang, MD

  • Internal Medicine Physician
  • Pfafftown, NC
National Provider Identifier
1447267281
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2010-00509 Issued in NC
Practice address
4611 Yadkinville Rd
Pfafftown, NC 27040-8622
Phone
(336) 718-7600
NPI assigned
Aug 2, 2006
Last updated
Feb 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 270945 NY
Internal Medicine Physician 207R00000X 044428 CT
Internal Medicine Physician 207R00000X 2010-00509 NC Primary

Addresses

Primary practice location

4611 Yadkinville Rd
Pfafftown, NC 27040-8622

Mailing address

PO Box 751803
Charlotte, NC 28275-1803
Phone (336) 774-3740

Other practice location 1

800 Red Mills Rd
Wallkill, NY 12589-3220
Phone (845) 744-9105

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
I20101111000805 NC Practitioner - Internal MedicinePractitioner - Peripheral Vascular Disease 2466450556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Peripheral Vascular Disease
Education
Other, 1999
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)

4611 Yadkinville Rd
Pfafftown, NC 27040-8622
Phone (336) 718-7600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
044428CTMDInternal Medicine Physician
2010-00509NCMDInternal Medicine Physician
270945NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Forsyth Memorial Hospital Inc CurrentSince Mar 1, 2016 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Mar 1, 2016 Accepting new patients
Forsyth Memorial Hospital, Inc Past Accepting new patients

Locations

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

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

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

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

Interoperability endpoints

  • Direct secure messaging: vkorang297496@direct.novanthealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1447267281",
    "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": "336-774-3740",
            "fax_number": "336-774-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 YADKINVILLE RD",
            "city": "PFAFFTOWN",
            "state": "NC",
            "postal_code": "270408622",
            "telephone_number": "336-718-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Red Mills Rd",
            "address_purpose": "LOCATION",
            "city": "Wallkill",
            "state": "NY",
            "postal_code": "125893220",
            "country_code": "US",
            "telephone_number": "845-744-9105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORANG",
        "first_name": "VICTOR",
        "middle_name": "EBED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "270945",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "044428",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2010-00509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pfafftown, NC

Sources for this page

Verify at the official NPI Registry.