Active NPI
Sara Hrivnak
- Family Medicine Physician
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2025-01150
- Practice address
- 4614 Country Club Rd
Winston Salem, NC 27104-3520 - Phone
- (336) 716-6099
- Fax
- (336) 716-5074
- NPI assigned
- Apr 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2025-01150 | NC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 2025-01150 | NC | Primary |
Addresses
Primary practice location
4614 Country Club Rd
Winston Salem, NC 27104-3520
Mailing address
Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-6099
Other practice location 1
3903 N Elm St
Greensboro, NC 27455-2877
Phone (336) 716-9253
Other practice location 2
102 E Ravine Rd
Kingsport, TN 37660-3814
Phone (423) 245-9600
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
- General Surgery
- Education
- Edward Via Col of Osteo Medicine-Carolinas Campus, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4614 Country Club Rd
Winston Salem, NC 27104-3520
Phone (336) 716-2255
Hospital & facility affiliations
- North Carolina Baptist Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025-01150 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest University Health Sciences | Current | Accepting new patients | |
| Medical Education Assistance Corporation | Family Medicine | Current | Accepting new patients |
| Medical Education Assistance Corporation | Family Medicine | Past | Accepting new patients |
Locations
3903 N Elm St
Greensboro, NC 27455
Phone (336) 716-4131
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
4614 Country Club Rd
Winston Salem, NC 27104
Phone (336) 716-3787
102 E Ravine Rd
Kingsport, TN 37660
Phone (423) 245-9600
Interoperability endpoints
- shrivnak3019297@carolinashealthcaresystem.direct-ci.com
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.
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
- Internal Medicine Physician
- Johnson City, TN
- NPI 1235180480
Family Medicine
-
- Family Medicine Physician
- Kingsport, TN
- NPI 1588786768
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Winston Salem, NC
- NPI 1063480531
-
- Rehabilitation Hospital Unit
- Winston Salem, NC
- NPI 1114995677
-
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1144211301
-
- Clinical Medical Laboratory
- Winston Salem, NC
- NPI 1609162098
Hospital
-
- Pediatric Adolescent Medicine Physician
- Winston Salem, NC
- NPI 1912179219
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1619610573",
"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",
"telephone_number": "336-716-6099",
"fax_number": "336-716-5074"
},
{
"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": "336-716-6099",
"fax_number": "336-716-5074"
}
],
"practiceLocations": [
{
"address_1": "3903 N Elm St",
"address_purpose": "LOCATION",
"city": "Greensboro",
"state": "NC",
"postal_code": "274552877",
"country_code": "US",
"telephone_number": "336-716-9253",
"fax_number": "336-716-5074",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "102 E Ravine Rd",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376603814",
"country_code": "US",
"telephone_number": "423-245-9600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HRIVNAK",
"first_name": "SARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-19",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "2025-01150",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2025-01150",
"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 Sep 11, 2025; 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.