NPIMap

Organization Active NPI

North Carolina Baptist Hospital

Doing business as Wake Forest Baptist Medical Center

  • Clinical Medical Laboratory
  • Winston Salem, NC
National Provider Identifier
1609162098
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
3400664386 Issued in NC
Legal business name
NORTH CAROLINA BAPTIST HOSPITAL
Doing business as
Wake Forest Baptist Medical Center
Practice address
Medical Center Blvd
Winston Salem, NC 27157-0001
Phone
(336) 716-2669
Fax
(336) 716-6359
NPI assigned
Jun 23, 2011
Last updated
Oct 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Authorized official

Name
Cathleen Wheatley, DNP
Title
President
Phone
(336) 713-4944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 3400664386 NC Primary

Addresses

Primary practice location

Medical Center Blvd
Winston Salem, NC 27157-0001

Mailing address

Medical Center Blvd
Winston Salem, NC 27157-0001

Other names 1

  • Wake Forest Baptist Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030623000026 NC Part A Provider - Hospital 6002725272 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Winston Salem, NC; Elkin, NC; Mount Airy, NC; Lexington, NC; Clemmons, NC; Bermuda Run, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609162098. Details of each certification follow.

Hospital certification: CCN 340047

Legal name
NORTH CAROLINA BAPTIST HOSPITAL
Doing business as
NORTH CAROLINA BAPTIST HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 28, 2011
Beds
885 (830 certified)
Ownership / control type
Private (not for profit)
Most recent change of ownership
Mar 2, 2024 (3 total)
Organization structure
CorporationNon-profit
Incorporated
Nov 20, 1997 in NC
Enrollment address
Medical Center Blvd
Winston Salem, NC 27157-0001
Main/Primary Hospital Location
Hospital subgroups
General, Psychiatric, Rehabilitation, Psychiatric unit, Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
North Carolina Baptist HospitalCCN 340047 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
North Carolina Baptist Hospital29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

Locations

1150 S Peace Haven Rd
Clemmons, NC 27012
Phone (336) 712-2000

2311 Lewisville Clemmons Rd
#2
Clemmons, NC 27012
Phone (336) 713-3325

2341 Lewisville Clemmons Rd
Fl 3
Clemmons, NC 27012
Phone (336) 713-3365

4515 Premier Dr
Ste 202
High Point, NC 27265
Phone (336) 802-2500

120 Miller St
Ste B
Winston Salem, NC 27103
Phone (336) 713-6961

1200 N Martin Luther King Jr Dr
Winston Salem, NC 27101
Phone (336) 713-9800

140 Charlois Blvd
#2
Winston Salem, NC 27103
Phone (336) 713-5623

140 Charlois Blvd
Fl 1
Winston Salem, NC 27103
Phone (336) 716-4131

1920 W 1st St
Winston Salem, NC 27104
Phone (336) 716-4479

1920 W 1st St
#3
Winston Salem, NC 27104
Phone (336) 716-4436

1920 W 1st St
#One
Winston Salem, NC 27104
Phone (336) 716-5800

2295 E 14th St
Ste 200
Winston Salem, NC 27105

342 Medical Center Blvd
Winston Salem, NC 27103
Phone (336) 716-4104

4614 Country Club Rd
#1
Winston Salem, NC 27104
Phone (336) 716-3325

4614 Country Club Rd
#2
Winston Salem, NC 27104
Phone (336) 713-3325

4850 Old Rural Hall Rd
Winston Salem, NC 27105
Phone (336) 744-9915

500 Shepherd St
Ste 300
Winston Salem, NC 27103
Phone (336) 713-7777

Medicial Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ashley Carol Johnson Individual Corporate DirectorDirector Dec 15, 2024
Sheree Watson Individual Corporate DirectorChair NCBH & Wfubmc Board Member Jan 1, 2014
Leigh E Boulware Individual Corporate OfficerBoard Member Jan 1, 2026
Cathleen Ann Marie Wheatley Individual Corporate Officer Jan 1, 2021
W-2 Managing Employee Jan 1, 2021
Stephen L Robertson Individual Corporate Director Jan 1, 2021
Wake Forest University Baptist Medical Center Organization, Winston Salem, NC Corporation, Non-profit Operational/Managerial Control Oct 9, 2020 50%
Frank Kolwezi Thomas Individual Corporate Officer Jan 1, 2024
North Carolina Baptist Hospital Organization, Winston Salem, NC Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Oct 9, 2020 100%
Atrium Health Inc Organization, Charlotte, NC Corporation Operational/Managerial Control Oct 9, 2020 50%
Advocate Health Inc Organization, Charlotte, NC Corporation, Non-profit Operational/Managerial Control Dec 2, 2022
Albert Herring Individual Corporate DirectorBoard Member, NCBH & Wfubmc Jan 1, 2013
Arthur Gibel Individual Corporate DirectorWfbmc Board & NCBH Board Vice Chair Jul 1, 2014
William Cecil Warden Individual Corporate OfficerNCBH Board Jan 1, 2014
Corporate DirectorWfbmc Board - Vice Chair Jul 1, 2015

Owners & managing parties with NPI records 12

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 153

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 153

Affiliated clinicians 2,495

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 2,495

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1609162098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-2669",
            "fax_number": "336-716-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CAROLINA BAPTIST HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-23",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "WHEATLEY",
        "authorized_official_first_name": "CATHLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-713-4944",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NC",
            "license": "3400664386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Wake Forest Baptist Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.