Active NPI
Lynne Baheyeah Daniels, PA-C
- Physician Assistant
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 102895
- Practice address
- 160 Kimel Forest Dr Ste 250
Winston Salem, NC 27103-6144 - Phone
- (336) 306-9068
- NPI assigned
- Mar 20, 2007
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 006559 | GA | |
| Physician Assistant | 363A00000X | 1021 | SC | |
| Physician Assistant | 363A00000X | 102895 | NC | Primary |
Addresses
Primary practice location
160 Kimel Forest Dr Ste 250
Winston Salem, NC 27103-6144
Mailing address
160 Kimel Forest Dr Ste 250
Winston Salem, NC 27103-6144
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZA0000024 | Medicaid | NC | |
| 003154214A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, GA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1021 | SC | MD | Athletic Trainer |
| 006559 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moses Cone Medical Services, Inc. | Physician Assistant | Current | Accepting new patients |
| St Josephs Candler Urgent Care Centers LLC | Current | Accepting new patients | |
| Moses Cone Medical Services, Inc. | Current | Accepting new patients | |
| Optim Orthopedics, LLC | Past | Accepting new patients | |
| Optim Orthopedics, LLC | Past | Accepting new patients |
Locations
101 Saint Josephs Candler Dr
Ste 100
Pooler, GA 31322
Phone (912) 450-1945
1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700
940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848
3 Progressive St
Bluffton, SC 29910
Phone (843) 548-0533
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1427095249
Physician Assistant
-
dba Carolina QuickCare Family Practice
- Internal Medicine Physician
- Biscoe, NC
- NPI 1881360899
-
dba Outer Banks Hospital Urgent Care
- Multi-Specialty Clinic/Center
- Nags Head, NC
- NPI 1891050357
-
- Interventional Pain Medicine Physician
- Savannah, GA
- NPI 1922232719
-
dba Western Rockingham Family Medicine
- Family Medicine Physician
- Madison, NC
- NPI 1629376363
-
- Urgent Care Clinic/Center
- Bluffton, SC
- NPI 1902468697
-
- Orthopaedic Surgery Physician
- Bluffton, SC
- NPI 1528451481
-
dba Optim Orthopedics
- Orthopaedic Surgery Physician
- Midway, GA
- NPI 1821639758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779408000000",
"number": "1699890715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 KIMEL FOREST DR STE 250",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 KIMEL FOREST DR STE 250",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036144",
"telephone_number": "336-306-9068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS",
"first_name": "LYNNE",
"middle_name": "BAHEYEAH",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "006559",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "1021",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "102895",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZA0000024",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003154214A",
"state": "GA"
}
],
"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 May 22, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.