Organization Active NPI

Camel City Rehabilitation Medicine PLLC

  • Physical Medicine & Rehabilitation Physician
  • Winston Salem, NC
National Provider Identifier
1659948404
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
CAMEL CITY REHABILITATION MEDICINE PLLC
Practice address
2475 Hillcrest Center Cir
Winston Salem, NC 27103-3048
Phone
(336) 754-3605
Fax
(336) 754-3895
NPI assigned
Jun 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Authorized official

Name
Dr. James Martin McLean, MD
Title
Owner
Phone
(336) 403-0686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

2475 Hillcrest Center Cir
Winston Salem, NC 27103-3048

Mailing address

905 Shadowmere CT
Winston Salem, NC 27104-5023
Phone (336) 403-0686

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623196800000",
    "number": "1659948404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 SHADOWMERE CT",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271045023",
            "telephone_number": "336-403-0686",
            "fax_number": "336-754-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 HILLCREST CENTER CIR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033048",
            "telephone_number": "336-754-3605",
            "fax_number": "336-754-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMEL CITY REHABILITATION MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A",
        "authorized_official_last_name": "MCLEAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-403-0686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "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 Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.