Individual provider Active NPI

David D Miner, MD

  • Obstetrics & Gynecology Physician
  • Winston Salem, NC
National Provider Identifier
1881661569
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2007-00024 Issued in NC
Practice address
114 Charlois Blvd
Winston Salem, NC 27103-1522
Phone
(336) 765-5470
Fax
(336) 765-5428
NPI assigned
Mar 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2007-00024 NC Primary

Addresses

Primary practice location

114 Charlois Blvd
Winston Salem, NC 27103-1522

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (336) 765-5470

Other names 1

  • David D Miner Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dminer247756@direct.novanthealth.org

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070823001004 NC Practitioner - Obstetrics/Gynecology 8921033580 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Baylor College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

114 Charlois Blvd
Winston Salem, NC 27103-1522
Phone (336) 765-5470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2007-00024NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Granville Health System Current Accepting new patients
Novant Health Medical Group, LLC Obstetrics & Gynecology CurrentSince May 23, 2015 Accepting new patients
Granville Health System CurrentSince Dec 14, 2018 Accepting new patients
Obhg North Carolina, P.C. Obstetrics & Gynecology CurrentSince Jun 1, 2020 Accepting new patients
Novant Medical Group Inc CurrentSince May 23, 2015 Accepting new patients
Granville Health System CurrentSince Dec 14, 2018 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

4130 Clemmons Rd
Clemmons, NC 27012
Phone (336) 277-1890

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

14330 Oakhill Park Ln
Ste 200
Huntersville, NC 28078
Phone (704) 316-1265

108 W Medical Park Dr
Lexington, NC 27292
Phone (336) 243-7054

1010 College St
Oxford, NC 27565
Phone (919) 623-5115

103 Professional Park
Ste C
Oxford, NC 27565
Phone (919) 690-3020

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

1302 Lexington Ave
Thomasville, NC 27360
Phone (336) 475-6139

2909 Maplewood Ave
Winston Salem, NC 27103
Phone (336) 277-0340

114 Charlois Blvd
Winston Salem, NC 27103

245 Charlois Blvd
Winston Salem, NC 27103
Phone (336) 659-4777

656 E Monmouth St
Winston Salem, NC 27107
Phone (336) 718-4380

2001 Todays Woman Ave
Winston Salem, NC 27105
Phone (336) 722-1818

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

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.

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1881661569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "336-765-5470",
            "fax_number": "336-765-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 CHARLOIS BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031522",
            "telephone_number": "336-765-5470",
            "fax_number": "336-765-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINER",
        "first_name": "DAVID",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2020-10-25",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2007-00024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dminer247756@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "114 Charlois Blvd",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271031522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "MINER",
            "middle_name": "D",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.