Individual provider Active NPI

John Paul Velasco, M.D.

  • Internal Medicine Physician
  • Winston Salem, NC
National Provider Identifier
1598029704
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2015-01625 Issued in NC
Practice address
4614 Country Club Rd
Winston Salem, NC 27104-3520
Phone
(336) 716-3787
Fax
(336) 716-0222
NPI assigned
Jul 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2015-01625 NC
Family Medicine Physician 207Q00000X 84941 WI
Family Medicine Physician 207Q00000X 4301100843 MI
Family Medicine Physician 207Q00000X 036.174129 IL
Internal Medicine Physician 207R00000X 2015-01625 NC Primary

Addresses

Primary practice location

4614 Country Club Rd
Winston Salem, NC 27104-3520

Mailing address

PO Box 602658
Charlotte, NC 28260-2658
Phone (336) 716-2011

Other practice location 1

1534 W D St
North Wilkesboro, NC 28659-3528
Phone (336) 667-4178

Other practice location 2

1441 Branding Ave Ste 310
Downers Grove, IL 60515-5624
Phone (262) 693-4311

Other identifiers 1

IdentifierTypeStateIssuer
100303555MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC, GA, AL, WI, IL6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20150929001409 NC Practitioner - Internal MedicinePractitioner - Family Practice 4981912730 Reassigns benefits to 5 organizations
I20240715002810 SC Practitioner - Family Practice 4981912730 Reassigns benefits to 1 organization
I20240820000471 GA Practitioner - Family Practice 4981912730 Reassigns benefits to 1 organization
I20241230003001 AL Practitioner - Family Practice 4981912730 Reassigns benefits to 1 organization
I20241231000700 WI Practitioner - Family Practice 4981912730 Reassigns benefits to 3 organizations
I20250320003647 IL Practitioner - Family Practice 4981912730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, shared by 56 NPIs, 2,324 clinicians
Floyd Healthcare Management IncGroup PAC ID 5193633386, 133 clinicians

Practice addresses (Care Compare)

10620 Park Rd
Suite 202
Charlotte, NC 28210-0106
Phone (704) 667-0920

123 Professional Park Dr
Locust, NC 28097-7712
Phone (704) 403-6760

400 Northwodd Dr
Centre, AL 35960-1023
Phone (256) 927-5531

704 Gold Hill Rd
Suite 1200
Fort Mill, SC 29715-8906
Phone (704) 667-3380

990 Veterans Memorial Hwy NE
Suite a
Rome, GA 30161-4938
Phone (706) 291-4100

Hospital & facility affiliations

  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.174129ILMDFamily Medicine Physician
4301100843MIMDFamily Medicine Physician
84941WIMDFamily Medicine Physician
2015-01625NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Medical Center Current Accepting new patients
Wake Forest Health Network LLC Internal Medicine CurrentSince Jul 21, 2025 Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince Dec 1, 2024 Accepting new patients
Floyd Cherokee Medical Center LLC Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Dec 20, 2023 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Floyd Healthcare Management Inc Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Carolinas Physicians Network, Inc Family Medicine CurrentSince Dec 20, 2023 Accepting new patients
Carolinas Medical Center CurrentSince Apr 7, 2024 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Mar 11, 2025 Accepting new patients
Carolinas Physicians Network Inc Family Medicine CurrentSince Apr 8, 2024 Accepting new patients
Wake Forest University Health Sciences CurrentSince Jul 1, 2017 Accepting new patients
Carolinas Physicians Network Inc Family Medicine CurrentSince Sep 7, 2024 Accepting new patients
Lakeshore Medical Clinic LTD Family Medicine CurrentSince Dec 1, 2024 Accepting new patients
Floyd Healthcare Management Inc CurrentSince Jul 1, 2024 Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Aurora Medical Group, Inc. Family Medicine Current Accepting new patients
Aurora Medical Group, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Wilkes Physician Network, Inc. Family Medicine Current Accepting new patients
Aurora Medical Group, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Wake Forest Health Network, LLC CurrentSince Jul 21, 2025 Accepting new patients
Aurora Advanced Healthcare, Inc. Family Medicine CurrentSince Dec 1, 2024 Accepting new patients
Carolinas Medical Center Family Medicine CurrentSince Apr 7, 2024 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Mar 11, 2025 Accepting new patients
Lakeshore Medical Clinic, LLC Family Medicine CurrentSince Dec 1, 2024 Accepting new patients
Family Medicine, PLLC Family Medicine PastSince Jul 12, 2013 Accepting new patients
Carolinas Physicians Network Inc Family Medicine Past Accepting new patients

Locations (25 of 48)

400 Northwood Dr
Centre, AL 35960
Phone (256) 927-1382

1025 N Main St
Cedartown, GA 30125
Phone (770) 748-5212

990 Veterans Memorial Hwy NE
#A
Rome, GA 30161
Phone (706) 291-4100

420 E 2nd Ave
Ste 103
Rome, GA 30161
Phone (706) 509-3278

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

1441 Branding Ave
Ste 310
Downers Grove, IL 60515
Phone (630) 829-1038

10188 N Main St
Archdale, NC 27263
Phone (336) 802-2070

223 W Ward St
#B
Asheboro, NC 27203

327 Rock Crusher Rd
Asheboro, NC 27203
Phone (336) 636-5546

375 Sunset Ave
Asheboro, NC 27203
Phone (336) 625-4215

147 Peachtree Ln
Bermuda Run, NC 27006
Phone (336) 713-2290

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

251 Eastway Dr
Charlotte, NC 28213
Phone (704) 446-9991

10620 Park Rd
Ste 202
Charlotte, NC 28210
Phone (704) 512-3988

7030 Pineville Matthews Rd
Charlotte, NC 28226
Phone (704) 344-2100

13640 Steelecroft Pkwy
Ste 320
Charlotte, NC 28278
Phone (704) 302-8900

14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070

2090 S US 29 Hwy
China Grove, NC 28023
Phone (704) 403-6800

270 Copperfield Blvd NE
Ste 102
Concord, NC 28025
Phone (704) 721-2060

171 W Wilkes Medical Center Rd
Ferguson, NC 28624
Phone (336) 973-7050

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

151 Medical Park Dr
Jefferson, NC 28640
Phone (336) 246-7161

4000 S Swaim Street Ext
Jonesville, NC 28642
Phone (336) 835-6300

900 Old Winston Rd
Kernersville, NC 27284
Phone (336) 713-8077

Interoperability endpoints

  • Direct secure messaging: jvelasco2744227@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 30

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.

View all 30

Hospital & facility affiliations 6

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": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1598029704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602658",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602658",
            "telephone_number": "336-716-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4614 COUNTRY CLUB RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271043520",
            "telephone_number": "336-716-3787",
            "fax_number": "336-716-0222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1534 W D St",
            "address_purpose": "LOCATION",
            "city": "North Wilkesboro",
            "state": "NC",
            "postal_code": "286593528",
            "country_code": "US",
            "telephone_number": "336-667-4178",
            "fax_number": "336-667-0938",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1441 Branding Ave Ste 310",
            "address_purpose": "LOCATION",
            "city": "Downers Grove",
            "state": "IL",
            "postal_code": "605155624",
            "country_code": "US",
            "telephone_number": "262-693-4311",
            "fax_number": "414-203-3788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELASCO",
        "first_name": "JOHN PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-02",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2015-01625",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "84941",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301100843",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.174129",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2015-01625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100303555",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1441 Branding Ave Ste 310",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605155624",
            "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.