Matthew W Calkins, MD
Individual provider Active NPI Family Medicine Physician · Rural Hall, NC
NPI 1780145326 · NPPES record last updated Oct 16, 2023
Key facts
- NPI
- 1780145326
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2023-00420 (NC)
- Practice address
- 1038 Bethania Rural Hall Rd
Rural Hall, NC 27045-9552 - Phone
- (367) 169-2703
- Fax
- (336) 702-9313
- NPI assigned
- Mar 27, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Florida College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wake Forest University Health Sciences
Practice addresses (Care Compare)
2311 Lewisville Clemmons Rd
Clemmons, NC 27012-8905
Phone (336) 716-2255
Hospital & facility affiliations
- North Carolina Baptist Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230721000078 | NC | Practitioner - Family Practice | 8820322175 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023-00420 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest University Health Sciences | Current |
Accepting new patients |
Locations
2311 Lewisville Clemmons Rd
#3
Clemmons, NC 27012
2311 Lewisville Clemmons Rd
Clemmons, NC 27012
Phone (336) 713-0400
1038 Bethania Rural Hall Rd
Rural Hall, NC 27045
Phone (336) 716-9270
100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
Interoperability endpoints
- mcalkins2755106@carolinashealthcaresystem.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2023-00420 | NC | Yes |
Addresses
Primary practice location
1038 Bethania Rural Hall Rd
Rural Hall, NC 27045-9552
Mailing address
Provider Enrollment
100 Kimel Forest Drive
Winston Salem, NC 27103-6074
Phone (336) 713-0947
Other providers in Rural Hall, NC
- Priscilla Amo Kuffour
- Cathy Cook Arney
- Julie Barnes
- Brittany Bethea
- Angela Mary Brady-Fleming
- Maria Ann Mendrinos Chavous
- Tatianna Cherry Flowers
- Claudine Y Corbett
- Lori Oakley Cordial
- Tanisha Caprice Cox
All providers in Rural Hall, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.