Active NPI
Erfaan Ghiassi, MD
- Family Medicine Physician
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2022-01183
- Practice address
- 105 Vest Mill Cir
Winston Salem, NC 27103-2943 - Phone
- (336) 718-7800
- Fax
- (336) 718-7900
- NPI assigned
- May 4, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2022-01183 | NC | Primary |
Addresses
Primary practice location
105 Vest Mill Cir
Winston Salem, NC 27103-2943
Mailing address
PO Box 751803
Charlotte, NC 28275-1803
Other practice location 1
4070 Highway 17
Murrells Inlet, SC 29576-5033
Phone (843) 652-1293
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Robinhood Medical PLZ
Winston Salem, NC 27106-5476
Phone (336) 718-0800
Hospital & facility affiliations
- Medi Home Health & Hospice
- Bayada Home Health Care, Inc
- Novant Health Forsyth Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forsyth Memorial Hospital, Inc. | Family Medicine | Current | Accepting new patients |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc | Family Medicine | 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
100 Robinhood Medical Plz
Winston Salem, NC 27106
Phone (336) 718-0560
105 Vest Mill Cir
Winston Salem, NC 27103
Phone (336) 718-7800
Interoperability endpoints
- eghiassi1067963@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 and National Provider Directory roles.
-
- Family Medicine Physician
- Winston Salem, NC
- NPI 1104548874
-
- Cardiovascular Disease Physician
- Winston Salem, NC
- NPI 1932935475
-
- Family Medicine Physician
- Mount Airy, NC
- NPI 1295783108
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Winston Salem, NC
- NPI 1720347701
-
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1447200233
-
- Home Health Agency
- Thomasville, NC
- NPI 1336323526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660694400000",
"number": "1568027639",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 VEST MILL CIR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271032943",
"telephone_number": "336-718-7800",
"fax_number": "336-718-7900"
}
],
"practiceLocations": [
{
"address_1": "4070 Highway 17",
"address_purpose": "LOCATION",
"city": "Murrells Inlet",
"state": "SC",
"postal_code": "295765033",
"country_code": "US",
"telephone_number": "843-652-1293",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GHIASSI",
"first_name": "ERFAAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-04",
"last_updated": "2022-08-17",
"certification_date": "2022-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2022-01183",
"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 Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.