Thomas Paul Mutton, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

18688 Issued in NC

Practice address

1900 S Hawthorne Rd
Suite 480
Winston Salem, NC 27103-3913

Phone

(336) 765-0155

Fax

(336) 765-5494

NPI assigned

Aug 2, 2005

Reactivated

Mar 27, 2006

Last updated

Oct 25, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 8

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Wake Forest University School of Medicine, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Ashe Memorial Hospital IncGroup PAC ID 7315912870, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Unc Lenoir Health Care Hospital, Kinston, NC, CCN 340027
• Ashe Memorial Hospital Hospital, Jefferson, NC, CCN 341325
• Unc Health Care Wayne Hospital, Goldsboro, NC, CCN 340010

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tmutton21034@direct.novanthealth.org
• Direct secure messaging: tmutton2737071@carolinashealthcaresystem.direct-ci.com

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.

• Ashe Memorial Hospital Inc

  • Emergency Medicine Physician
  • Jefferson, NC
  • NPI 1316045800
  Medicare reassignment Care Compare group NPD
• Unc Physicians Network LLC

  dba UNC Family Medicine at Pittsboro

  • Family Medicine Physician
  • Pittsboro, NC
  • NPI 1750704367
  Medicare reassignment Care Compare group NPD
• Outer Banks Professional Services, LLC

  dba Outer Banks Hospital Urgent Care

  • Multi-Specialty Clinic/Center
  • Nags Head, NC
  • NPI 1891050357

  Surgery

  Medicare reassignment NPD
• Scotland Memorial Hospital Inc

  dba SURGICAL ASSOCIATES of SCOTLAND

  • Vascular Surgery Physician
  • Laurinburg, NC
  • NPI 1477791507
  Medicare reassignment NPD
• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731
  Medicare reassignment NPD
• Ashe Memorial Hospital Inc

  • Critical Access Hospital
  • Jefferson, NC
  • NPI 1376671370
  NPD
• Ashe Memorial Hospital Inc

  • Hospitalist Physician
  • Jefferson, NC
  • NPI 1861592271
  NPD
• Outer Banks Professional Services, LLC

  dba Outer Banks Hospital Urgent Care

  • Urgent Care Clinic/Center
  • Nags Head, NC
  • NPI 1386182608
  NPD
• Scotland Memorial Hospital Inc

  dba Sterling Surgical Services

  • Surgery Physician
  • Laurinburg, NC
  • NPI 1104918754
  NPD
• Unc Physicians Network LLC

  • General Practice Physician
  • Morrisville, NC
  • NPI 1558786830
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ashe Memorial Hospital Inc

  • Critical Access Hospital
  • Jefferson, NC
  • NPI 1376671370
  Care Compare affiliation
• Lenoir Memorial Hospital, Incorporated

  dba Ekg Eeg

  • Cardiology Technician
  • Kinston, NC
  • NPI 1013957414

  Hospital

  Care Compare affiliation
• Lenoir Memorial Hospital, Incorporated

  dba UNC Lenoir Health Care

  • General Acute Care Hospital
  • Kinston, NC
  • NPI 1962446385
  Care Compare affiliation
• Wayne Memorial Hospital Inc

  dba UNC Health Wayne

  • General Acute Care Hospital
  • Goldsboro, NC
  • NPI 1750353462
  Care Compare affiliation

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1760483689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S HAWTHORNE RD",
            "address_2": "SUITE 480",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033913",
            "telephone_number": "336-765-0155",
            "fax_number": "336-765-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S HAWTHORNE RD",
            "address_2": "SUITE 480",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033913",
            "telephone_number": "336-765-0155",
            "fax_number": "336-765-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTTON",
        "first_name": "THOMAS",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2020-10-25",
        "certification_date": "2020-09-06",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "18688",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "18688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "1319922",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLPATH",
            "identifier": "122902",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "125882",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUESHIELD",
            "identifier": "61648",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "28536",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "546165",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH GROUP",
            "identifier": "2072030",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8961648",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmutton21034@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1900 S Hawthorne Rd",
            "address_2": "SUITE 480",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271033913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Musical Expressions LLC
• Sarah Muslim, ATC
• Lindsay Marie Musser, PA
• Alice Mutoni
• Paula B Mutton, NP
• Bilal Muzaffar, MD
• Ruth Muze, RN PHD
• My Grands Care Solution LLC
• My Sister's Place
• My Sister's Place Community Services, Inc

• Surgery Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; 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.

Verify at the official NPI Registry.