Active NPI
Amy Caroline Sapp, M.D.
- Family Medicine Physician
- Winston-Salem, NC
National Provider Identifier
1720073711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9801477
- Practice address
- 2805 Lyndhurst Ave
Winston-Salem, NC 27103-4109 - Phone
- (336) 659-0076
- Fax
- (336) 659-0272
- NPI assigned
- Sep 15, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9801477 | NC | Primary |
Addresses
Primary practice location
2805 Lyndhurst Ave
Winston-Salem, NC 27103-4109
Mailing address
2805 Lyndhurst Ave
Winston-Salem, NC 27103-4109
Phone (336) 659-0076
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891161X | Medicaid | NC |
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
- Family Practice
- Education
- Wake Forest University School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2805 Lyndhurst Ave
Winston Salem, NC 27103-4109
Phone (336) 659-0076
Hospital & facility affiliations
- Novant Health Forsyth Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ardmore Family Practice P.a. | Family Medicine | Current | Accepting new patients |
Locations
2805 Lyndhurst Ave
Winston Salem, NC 27103
Phone (336) 659-0076
Interoperability endpoints
- amy.sapp.1@6378.direct.athenahealth.com
- https://api.platform.athenahealth.com/6378/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Winston Salem, NC
- NPI 1750342820
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1447200233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250726400000",
"number": "1720073711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2805 LYNDHURST AVE",
"city": "WINSTON-SALEM",
"state": "NC",
"postal_code": "271034109",
"telephone_number": "336-659-0076",
"fax_number": "336-659-0272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2805 LYNDHURST AVE",
"city": "WINSTON-SALEM",
"state": "NC",
"postal_code": "271034109",
"telephone_number": "336-659-0076",
"fax_number": "336-659-0272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAPP",
"first_name": "AMY",
"middle_name": "CAROLINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-15",
"last_updated": "2009-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "9801477",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891161X",
"state": "NC"
}
],
"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 Aug 20, 2009; 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.