Individual provider Active NPI

Tarek Aziz, M.D.

  • Psychiatry Physician
  • Winston Salem, NC
National Provider Identifier
1558620682
Registry record updated Jan 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2016-00115 Issued in NC
Practice address
3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone
(336) 277-1800
Fax
(336) 277-6981
NPI assigned
May 9, 2012
Last updated
Jan 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 2016-00115 NC Primary

Addresses

Primary practice location

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013

Mailing address

284 Executive Park Dr Ste 100
Concord, NC 28025-1833
Phone (704) 939-1100

Other practice location 1

227 N Main St
Troy, NC 27371-3058
Phone (704) 939-1100

Other practice location 2

650 Highland Ave Ste 100
Winston Salem, NC 27101-4304
Phone (704) 939-1100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address taziz326098@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
I20160805000359 NC Practitioner - Psychiatry 7012236920 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

280 Broad St
Suite a
Kernersville, NC 27284-2948
Phone (844) 266-8268

280 Broad St B
Kernersville, NC 27284-2948
Phone (336) 277-4460

280 Broad St E
Kernersville, NC 27284-2948
Phone (336) 277-6050

2825 Lyndhurst Ave
Winston Salem, NC 27103-4146

3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2016-00115NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch CurrentSince Nov 19, 2018 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 1, 2016 Accepting new patients
Forsyth Memorial Hospital Inc Psychiatry CurrentSince Jul 1, 2016 Accepting new patients
Daymark Recovery Services, Inc. Psychiatry CurrentSince Jan 30, 2023 Accepting new patients
Novant Health Medical Group, LLC Psychiatry CurrentSince Jul 1, 2016 Accepting new patients
Monarch Current Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Monarch CurrentSince Nov 19, 2018 Accepting new patients

Locations

350 Pee Dee Ave
Ste 101
Albemarle, NC 28001
Phone (704) 986-1522

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

284 Executive Park Dr
Ste 100
Kannapolis, NC 28025
Phone (704) 939-1118

1104A S Main St
Lexington, NC 27292
Phone (336) 252-2450

820 Grimes Blvd
Lexington, NC 27292
Phone (336) 224-6071

319 Chapanoke Rd
Ste 101
Raleigh, NC 27603
Phone (919) 662-4600

2129 Statesville Blvd
Salisbury, NC 28147
Phone (704) 633-3616

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

318 Turnersburg Hwy
Statesville, NC 28625
Phone (704) 872-8916

227 N Main St
Troy, NC 27371
Phone (910) 572-3681

175 Kimel Park Dr
Winston Salem, NC 27103
Phone (336) 718-1006

250 Charlois Blvd
Winston Salem, NC 27103
Phone (336) 718-1000

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

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

650 Highland Ave
Ste 100
Winston Salem, NC 27101
Phone (866) 275-9552

Interoperability endpoints

  • Direct secure messaging: taziz326098@direct.novanthealth.org

Organizations & group practices 10

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": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673049600000",
    "number": "1558620682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 EXECUTIVE PARK DR STE 100",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251833",
            "telephone_number": "704-939-1100",
            "fax_number": "704-939-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 SILAS CREEK PKWY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033013",
            "telephone_number": "336-277-1800",
            "fax_number": "336-277-6981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "227 N Main St",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NC",
            "postal_code": "273713058",
            "country_code": "US",
            "telephone_number": "704-939-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "650 Highland Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271014304",
            "country_code": "US",
            "telephone_number": "704-939-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZIZ",
        "first_name": "TAREK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-09",
        "last_updated": "2023-01-07",
        "certification_date": "2023-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2016-00115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "taziz326098@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "3333 Silas Creek Pkwy",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271033013",
            "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.