NPIMap

Organization Active NPI

United Health Center

  • Federally Qualified Health Center (FQHC)
  • Winston Salem, NC
National Provider Identifier
1811136476
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
UNITED HEALTH CENTER
Practice address
2101 Peters Creek Pkwy Ste 16-19
Winston Salem, NC 27127-3726
Phone
(336) 955-1379
Fax
(336) 893-9987
NPI assigned
Feb 5, 2009
Last updated
Oct 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Authorized official

Name
Roderic Brown
Title
Ceo
Phone
(336) 955-1379

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X NC
Public Health DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223D0001X
Federally Qualified Health Center (FQHC) 261QF0400X NC Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

2101 Peters Creek Pkwy Ste 16-19
Winston Salem, NC 27127-3726

Mailing address

PO Box 12341
Winston Salem, NC 27117-2341
Phone (336) 293-8728

Other practice location 1

1430 Felicity Lane
Winston Salem, NC 27101
Phone (336) 999-7655

Other identifiers 1

IdentifierTypeStateIssuer
344060AMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120927000071 NC Part A Provider - Federally Qualified Health Center (FQHC) 0941459457 Practice locations: Winston Salem, NC
O20151019000317 NC Part B Supplier - Clinic/Group Practice 0941459457 Receives reassigned benefits from 23 practitioners
1 other NPI on this enrollment
Practice locations: Winston Salem, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811136476. Details of each certification follow.

Federally qualified health center certification: CCN 341987

Legal name
UNITED HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 28, 2012
Last certification
Sep 28, 2012
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 22, 2004 in NC
Enrollment address
3009 Waughtown St
Winston Salem, NC 27107-1634

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2101 Peters Creek Pkwy
Winston Salem, NC 27127
Phone (336) 955-1379

2101 Peters Creek Pkwy
Ste 16
Winston Salem, NC 27127

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
United Health Center Organization, Winston-Salem, NC Non-profit Operational/Managerial Control Jun 1, 2012
Cre'Shawna White Individual Corporate Officer Jul 1, 2021
W-2 Managing EmployeeFinance Director Jun 10, 2019
Carllet McDonald Individual Corporate DirectorBoard Member Jun 1, 2012
Lashun a Huntley Individual Corporate OfficerCeo Jun 1, 2012
W-2 Managing Employee Jun 1, 2012

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1811136476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12341",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271172341",
            "telephone_number": "336-293-8728",
            "fax_number": "336-293-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 PETERS CREEK PKWY STE 16-19",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271273726",
            "telephone_number": "336-955-1379",
            "fax_number": "336-893-9987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 Felicity Lane",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "27101",
            "country_code": "US",
            "telephone_number": "336-999-7655",
            "fax_number": "336-999-7660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNITED HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "RODERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-955-1379"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344060A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.