Individual provider Active NPI

Carole Maxwell Stuart, M.D.

  • Adult Medicine Physician
  • Winston-Salem, NC
National Provider Identifier
1720120470
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
17287 Issued in NC
Practice address
Lower Level Reynolds Gym-Wingate Rd.
Wingate Rd.
Winston-Salem, NC 27109
Phone
(336) 758-5218
Fax
(336) 758-6054
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 17287 NC Primary

Addresses

Primary practice location

Lower Level Reynolds Gym-Wingate Rd.
Wingate Rd.
Winston-Salem, NC 27109

Mailing address

3635 Stimpson Dr
Pfafftown, NC 27040-8610
Phone (336) 924-6131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17287NCMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1720120470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 STIMPSON DR",
            "city": "PFAFFTOWN",
            "state": "NC",
            "postal_code": "270408610",
            "telephone_number": "336-924-6131",
            "fax_number": "336-922-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LOWER LEVEL REYNOLDS GYM-WINGATE RD.",
            "address_2": "WINGATE RD.",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27109",
            "telephone_number": "336-758-5218",
            "fax_number": "336-758-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUART",
        "first_name": "CAROLE",
        "middle_name": "MAXWELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NC",
            "license": "17287",
            "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 Mar 7, 2023; 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.