Novant Health Thomasville Medical Center LLC
Organization Active NPI Hematology & Oncology Physician · Winston Salem, NC
NPI 1649159609 · NPPES record last updated Sep 2, 2025
Key facts
- NPI
- 1649159609
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- Legal business name
- NOVANT HEALTH THOMASVILLE MEDICAL CENTER LLC
- Practice address
- 1010 Bethesda CT
Winston Salem, NC 27103-3019 - Phone
- (980) 302-9315
- NPI assigned
- Sep 2, 2025
- Organization subpart
- No
Authorized official
- Name
- Leea Jeanine Walton
- Title
- RCS Manager
- Phone
- (704) 316-6081
Other NPIs on the same Medicare enrollment 16
Corporate family (same tax ID) 12
Practitioners 712
-
Amy Andraza Adams, CRNA
-
Charles Kofi Agbemabiese, M.D.
-
Farhan Ahmed, M.D.
-
Rita Smith Aldridge, CRNA
-
John E Alexander, M.D.
-
Hassan Alhosaini, M.D.
-
Debra Ann Allenspach, CRNA
-
Carole Ann Araiza, CRNA
-
Mohsin Ali Arshad, M.D.
-
Colleen Marie Bailey, CRNA
-
Virginia Barnes, CRNA
-
Matthew W. Barragree, CRNA
-
Hope Duet Beacham, ACNP
-
Adam Norman Beam, CRNA
-
Sara Harmon Beam, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031222000916 | NC | Part B Supplier - Clinic/Group Practice | 5890605224 |
Receives reassigned benefits from 747 practitioners 16 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Greensboro, NC; Winston-Salem, NC; Winston Salem, NC; Thomasville, NC; Kernersville, NC; Clemmons, NC |
National Provider Directory
- Tax ID family
- Community Gen Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician |
207RH0003X | Yes |
Addresses
Primary practice location
1010 Bethesda CT
Winston Salem, NC 27103-3019
Mailing address
PO Box 935983
Atlanta, GA 31193-5983
Phone (980) 302-9315
Other names
- Novant Health Cancer Institute
Other providers in Winston Salem, NC
- Novant Health Medical Group, LLC
- Novant Health Medical Group, LLC
- Novant Health Medical Group, LLC
- Novant Health Medical Group, LLC
- Novant Health Rehabilitation Hospital of Winston-Salem, LLC
- Novant Health Thomasville Medical Center LLC
- Novant Health Thomasville Medical Center, LLC
- Novant Health Thomasville Medical Center, LLC
- Novant Health Thomasville Medical Center, LLC
- Novant Health Thomasville Medical Center, LLC
All providers in Winston Salem, NC · Hematology & Oncology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.