North Carolina Sports Medicine Institute PLLC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

NORTH CAROLINA SPORTS MEDICINE INSTITUTE PLLC

Practice address

185 Kimel Park Dr
Suite 201
Winston Salem, NC 27103-6973

Phone

(336) 760-9411

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Allston Stubbs

Title

Member

Phone

(336) 760-9411

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790849396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 KIMEL PARK DR",
            "address_2": "SUITE 201",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 KIMEL PARK DR",
            "address_2": "SUITE 201",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036973",
            "telephone_number": "336-760-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CAROLINA SPORTS MEDICINE INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STUBBS",
        "authorized_official_first_name": "ALLSTON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "336-760-9411"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Carolina CVS Pharmacy LLC (CVS Pharmacy #03812)
• North Carolina Digital Imaging, Inc
• North Carolina General Management LLC (Clinica San Felipe Winston-Salem)
• North Carolina Inpatient Medicine Associates, PLLC
• North Carolina Mobiel Ultrasound,Inc
• North Davidson Dialysis Center of Wake Forest University (North Davidson Dialysis Center)
• North Point Dental Care
• James Matthew North, MD
• Rod North, LCSW
• Northland Hearing Centers, Inc. (NuEar Hearing Center)

• Sports Medicine (Orthopaedic Surgery) Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.