Individual provider Active NPI

Llewellyn Fiifi Borts Mensah, MD

  • Internal Medicine Physician
  • Winston Salem, NC
National Provider Identifier
1659703395
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2016-01538 Issued in NC
Practice address
4614 Country Club Rd
Winston Salem, NC 27104-3520
Phone
(336) 716-3787
Fax
(336) 716-0222
NPI assigned
Aug 5, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2016-01538 NC
Internal Medicine Physician 207R00000X 2016-01538 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) 716-3787

Other practice location 1

2721 X Ray Dr
Gastonia, NC 28054-7491
Phone (704) 874-2255

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170301001150 NC Practitioner - Internal MedicinePractitioner - Family Practice 2860796331 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wake Forest University Health SciencesGroup PAC ID 4486564952, 2,633 clinicians

Practice addresses (Care Compare)

4614 Country Club Rd
Winston Salem, NC 27104-3520
Phone (336) 716-2255

Hospital & facility affiliations

  • North Carolina Baptist Hospital Hospital, Winston-Salem, NC, CCN 340047
  • Lexington Memorial Hospital Inc Hospital, Lexington, NC, CCN 340096

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Dec 24, 2024 Accepting new patients
Gaston Family Health Services, Inc CurrentSince Jul 5, 2016 Accepting new patients
Gaston Family Health Services, Inc. CurrentSince Jul 5, 2016 Accepting new patients

Locations (25 of 32)

119 W Pennsylvania Ave
Bessemer City, NC 28016
Phone (704) 629-3465

3114 W Main St
Claremont, NC 28610
Phone (828) 459-7324

111 E 3rd Ave
Gastonia, NC 28052
Phone (704) 853-5079

620 Summit Crossing Pl
Gastonia, NC 28054
Phone (704) 285-0241

890 Summit Crossing Pl
Gastonia, NC 28054
Phone (704) 853-5000

200 E 2nd Ave
Gastonia, NC 28052
Phone (704) 874-1904

2721 X Ray Dr
Gastonia, NC 28054
Phone (704) 853-5079

991 W Hudson Blvd
Gastonia, NC 28052
Phone (704) 853-5000

409 S Oakland St
Gastonia, NC 28052

609 N Highland St
Gastonia, NC 28052
Phone (704) 772-4700

1225 E Garrison Blvd
Gastonia, NC 28054
Phone (704) 865-7416

3070 11th Avenue Dr SE
Hickory, NC 28602
Phone (828) 466-7196

1501 Tate Blvd SE
Hickory, NC 28602
Phone (828) 322-4140

915 Tate Blvd SE
Hickory, NC 28602
Phone (828) 345-0800

2365 Springs Rd NE
Hickory, NC 28601
Phone (828) 256-2112

133 1st Ave SE
Hickory, NC 28602
Phone (828) 944-4544

502 W King St
Kings Mtn, NC 28086
Phone (704) 730-8461

420 N Salisbury St
Lexington, NC 27292
Phone (336) 243-7475

212 Gamble Dr
Lincolnton, NC 28092
Phone (704) 735-7145

137 Island Ford Rd
Maiden, NC 28650
Phone (828) 428-2446

172 S Clement St
Mocksville, NC 27028
Phone (336) 477-2251

1019 N Lafayette St
Shelby, NC 28150
Phone (704) 482-8282

305 W College Ave
Shelby, NC 28152
Phone (704) 434-2598

1022 Shelton Ave
Statesville, NC 28677
Phone (704) 768-2080

518 Brookdale Dr
Statesville, NC 28677
Phone (704) 838-1108

Interoperability endpoints

  • Direct secure messaging: lmensah2973218@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.

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": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1659703395",
    "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": "336-716-3787",
            "fax_number": "336-716-0222"
        },
        {
            "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": "2721 X Ray Dr",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280547491",
            "country_code": "US",
            "telephone_number": "704-874-2255",
            "fax_number": "704-810-7417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENSAH",
        "first_name": "LLEWELLYN",
        "middle_name": "FIIFI BORTS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-05",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2016-01538",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2016-01538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.