Active NPI
Dawn Marie Coulthurst Mason, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 5002208
- Practice address
- 1615 Polo Rd
Winston Salem, NC 27106-3831 - Phone
- (336) 722-7266
- Fax
- (336) 201-0538
- NPI assigned
- Apr 23, 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 5002208 | NC | |
| Nurse Practitioner | 363L00000X | 5002208 | NC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5002208 | NC | Primary |
Addresses
Primary practice location
1615 Polo Rd
Winston Salem, NC 27106-3831
Mailing address
1615 Polo Rd
Winston Salem, NC 27106-3831
Phone (336) 722-7226
Other practice location 1
104 Cambridge Plaza Dr
Winston Salem, NC 27104-3556
Phone (336) 722-7266
Other practice location 2
1901 Adams Farm Pkwy
Greensboro, NC 27407-6338
Phone (336) 722-7266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5002208 | NC | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke University Health System, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Duke Health Integrated Practice, Inc. | Current | Accepting new patients | |
| Duke University Health System, Inc. | Current | Accepting new patients | |
| Daymark Recovery Services, Inc. | Current | Accepting new patients | |
| Mood Treatment Center, PLLC | Past | Accepting new patients | |
| Wake Forest University Health Sciences | Past | Accepting new patients | |
| Wake Forest University Health Sciences | Past | Accepting new patients | |
| Wellmood PLLC | Past | Accepting new patients |
Locations
5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700
2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
402 Trent Dr
Durham, NC 27705
Phone (919) 668-5559
2213 Elba St
Durham, NC 27705
Phone (919) 684-0100
2608 Erwin Rd
Ste 300
Durham, NC 27705
Phone (919) 385-3232
284 Executive Park Dr
Ste 100
Kannapolis, NC 28025
Phone (704) 939-1118
1104A S Main St
Lexington, NC 27292
Phone (336) 300-8836
701 E Roosevelt Blvd
Ste 600
Monroe, NC 28112
Phone (704) 289-4595
1190 W Roosevelt Blvd
Monroe, NC 28110
Phone (704) 296-6200
2129 Statesville Blvd
Salisbury, NC 28147
Phone (704) 633-3616
Interoperability endpoints
- dmason486472@direct.medicine.duke.edu
Organizations & group practices 8
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.
-
- Multi-Specialty Clinic/Center
- Concord, NC
- NPI 1558329243
-
- General Practice Physician
- Durham, NC
- NPI 1205553369
-
dba Duke Home Infusion
- Parenteral & Enteral Nutrition Supplies (DME)
- Durham, NC
- NPI 1427187525
-
dba Duke University Hospital
- Certified Registered Nurse Anesthetist
- Durham, NC
- NPI 1558392977
Nurse Practitioner
-
- Psychiatry Physician
- Winston Salem, NC
- NPI 1285867952
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
- Multi-Specialty Clinic/Center
- Lexington, NC
- NPI 1639454499
-
- Psychiatry Physician
- Winston Salem, NC
- NPI 1154182368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1740408780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 POLO RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271063831",
"telephone_number": "336-722-7226",
"fax_number": "366-201-0538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 POLO RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271063831",
"telephone_number": "336-722-7266",
"fax_number": "336-201-0538"
}
],
"practiceLocations": [
{
"address_1": "104 Cambridge Plaza Dr",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271043556",
"country_code": "US",
"telephone_number": "336-722-7266",
"fax_number": "336-201-0538",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1901 Adams Farm Pkwy",
"address_purpose": "LOCATION",
"city": "Greensboro",
"state": "NC",
"postal_code": "274076338",
"country_code": "US",
"telephone_number": "336-722-7266",
"fax_number": "336-201-0538",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COULTHURST MASON",
"first_name": "DAWN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NC",
"license": "5002208",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5002208",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "5002208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
- Kristie Cothren, MA, CCC-SLP
- Deanna Marie Cotsalas, M.D., M.H.S.
- Amy Jo Couch, PMHNP
- Catherine Terese Coughlin, PA-C
- Sarah Coulter, MS, RD, LD
- William Chirstopher Council Jr.
- Chase Countryman
- County of Forsyth, North Carolina (Forsyth County Pharmacy)
- County of Forsyth, North Carolina (Forsyth County North Carolina)
- Chad David Courtemanche, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.