J. Taylor Bellamy, MD

Key facts

NPI

1578069720

Entity type

Individual (NPI type 1)

Primary specialty

Orthopaedic Surgery Physician 207X00000X

License

2024-01272 (NC)

Practice address

180 Kimel Park Dr
Winston Salem, NC 27103-6976

Phone

(336) 659-3700

Fax

(336) 765-6375

NPI assigned

Apr 4, 2018

Sex

Male

Sole proprietor

No

Organizations & group practices 6

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.

• Orthocarolina Orthopaedic Surgery Physician · Charlotte, NC · NPI 1497704217
  Medicare reassignment NPD NC · ORTHOPAEDIC SURGERY
• Orthocarolina Orthopaedic Surgery Physician · Hickory, NC · NPI 1346518073
  NPD ORTHOPAEDIC SURGERY
• Brigham & Womens Physicians Organization Inc Internal Medicine Physician · Boston, MA · NPI 1033535497
  NPD ORTHOPAEDIC SURGERY
• Massachusetts General Physicians Organization Inc Dermatology Physician · Boston, MA · NPI 1801874573
  NPD ORTHOPAEDIC SURGERY
• Orthocarolina Orthopaedic Surgery Physician · Indian Land, SC · NPI 1619641453
  NPD ORTHOPAEDIC SURGERY
• The General Hospital Corporation General Acute Care Hospital · Boston, MA · NPI 1023049236
  NPD

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ashe Memorial Hospital Inc Critical Access Hospital · Jefferson, NC · NPI 1376671370
  Care Compare affiliation Hospital
• Forsyth Memorial Hospital, Inc. General Acute Care Hospital · Winston Salem, NC · NPI 1447200233
  Care Compare affiliation Hospital
• DLP Twin County Regional Healthcare LLC General Acute Care Hospital · Galax, VA · NPI 1114292141
  Care Compare affiliation Hospital
• DLP Twin County Regional Healthcare LLC Physical Therapy Clinic/Center · Galax, VA · NPI 1801161369
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Orthopedic Surgery

Education

Emory University School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select Physical Therapy Holdings Inc (1,992 clinicians)
Orthocarolina (288 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novant Health Forsyth Medical Center Hospital · Winston-Salem, NC · CCN 340014
• Ashe Memorial Hospital Hospital · Jefferson, NC · CCN 341325
• Twin County Regional Hospital Hospital · Galax, VA · CCN 490115

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 6, 2024.

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1578069720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 PARK RD STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092290",
            "telephone_number": "704-323-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 KIMEL PARK DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036976",
            "telephone_number": "336-659-3700",
            "fax_number": "336-765-6375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3311 Jessie Village Dr",
            "address_purpose": "LOCATION",
            "city": "Clemmons",
            "state": "NC",
            "postal_code": "270129963",
            "country_code": "US",
            "telephone_number": "336-659-4135",
            "fax_number": "336-346-2150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELLAMY",
        "first_name": "J.",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-04",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2024-01272",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "1013151",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Winston Salem, NC · Orthopaedic Surgery Physician in North Carolina