Individual provider Active NPI

Catherine Williford Sechrist, MD

  • Pediatric Cardiology Physician
  • Winston Salem, NC
National Provider Identifier
1538485032
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
2016-01056 Issued in NC
Practice address
1806 S Hawthorne Rd Ste 100
Winston Salem, NC 27103-4014
Phone
(336) 718-2560
Fax
(336) 718-2569
NPI assigned
Apr 9, 2010
Last updated
Jun 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 164443 NC
Pediatrics Physician 208000000X 2016-01056 NC
Pediatric Cardiology Physician 2080P0202X 35518 SC
Pediatric Cardiology Physician 2080P0202X 2016-01056 NC Primary

Addresses

Primary practice location

1806 S Hawthorne Rd Ste 100
Winston Salem, NC 27103-4014

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

1781 Tate Blvd SE
Suite 203
Hickory, NC 28602-4251
Phone (704) 631-0002

Other practice location 2

9 Richland Medical Park Dr Ste 110
Columbia, SC 29203-6859
Phone (803) 434-7961

Other identifiers 2

IdentifierTypeStateIssuer
1538485032MedicaidNC
355181MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address csechrist867895@direct.novanthealth.org

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
I20160803001216 NC Practitioner - Pediatric Medicine 5092936070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

1806 S Hawthorne Rd
Suite 100
Winston Salem, NC 27103-4014
Phone (336) 718-2560

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35518SCMDPharmacist
164443NCMDPediatrics Physician
2016-01056NCMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Feb 28, 2021 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Feb 28, 2021 Accepting new patients

Locations

1718 E 4th St
Ste 605
Charlotte, NC 28204

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

1806 S Hawthorne Rd
Ste 100
Winston Salem, NC 27103
Phone (336) 718-2560

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: csechrist867895@direct.novanthealth.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1538485032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 S HAWTHORNE RD STE 100",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034014",
            "telephone_number": "336-718-2560",
            "fax_number": "336-718-2569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1781 Tate Blvd SE",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286024251",
            "country_code": "US",
            "telephone_number": "704-631-0002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Richland Medical Park Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036859",
            "country_code": "US",
            "telephone_number": "803-434-7961",
            "fax_number": "803-434-7981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SECHRIST",
        "first_name": "CATHERINE",
        "middle_name": "WILLIFORD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-09",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "164443",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2016-01056",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "SC",
            "license": "35518",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NC",
            "license": "2016-01056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538485032",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "355181",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "csechrist867895@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1806 S Hawthorne Rd Ste 100",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271034014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.