Individual provider Active NPI

Shawn Howard Fleming, MD

  • Vascular Surgery Physician
  • Winston Salem, NC
National Provider Identifier
1902089345
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
2009-00948 Issued in NC
Practice address
2827 Lyndhurst Ave
Suite 203
Winston Salem, NC 27103-4145
Phone
(336) 794-8624
Fax
(336) 231-8845
NPI assigned
Dec 7, 2007
Last updated
Oct 25, 2020By the provider in NPPES
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 121855 NC
Vascular Surgery Physician 2086S0129X 2009-00948 NC Primary

Addresses

Primary practice location

2827 Lyndhurst Ave
Suite 203
Winston Salem, NC 27103-4145

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (336) 794-8624

Other identifiers 1

IdentifierTypeStateIssuer
5911874MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sfleming36575@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
I20090725000076 NC Practitioner - Vascular SurgeryPractitioner - General Surgery 9830242791 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians

Practice addresses (Care Compare)

2827 Lyndhurst Ave
Suite 203
Winston Salem, NC 27103-4145
Phone (336) 794-8624

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal15
Leg revascularization (restoring blood flow)21
Removal of tissue19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
121855NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Health Network, LLC CurrentSince Jan 1, 2014 Accepting new patients
The Presbyterian Hospital Current Accepting new patients
The Presbyterian Hospital CurrentSince Mar 7, 2025 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Forsyth Memorial Hospital Inc Vascular Surgery CurrentSince Sep 8, 2024 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Mar 1, 2013 Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients
The Presbyterian Hospital CurrentSince Mar 7, 2025 Accepting new patients
Cornerstone Healthcare LLC Surgery CurrentSince Jan 1, 2014 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Sep 8, 2024 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 20, 2020 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Mar 1, 2013 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations (25 of 29)

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

125 Baldwin Ave
Ste 200
Charlotte, NC 28204
Phone (704) 384-5043

125 Queens Rd
Charlotte, NC 28204
Phone (980) 302-6000

125 Queens Rd
Ste 250
Charlotte, NC 28204
Phone (704) 316-2340

301 Hawthorne Ln
Ste 200
Charlotte, NC 28204
Phone (704) 316-5100

330 Billingsley Rd
Ste 202
Charlotte, NC 28211
Phone (704) 316-2350

335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390

4741 Randolph Rd
#100
Charlotte, NC 28211
Phone (704) 365-6730

6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

1226 Eastchester Dr
#100
High Point, NC 27265
Phone (336) 481-8540

1814 Westchester Dr
Ste 101
High Point, NC 27262
Phone (336) 802-2105

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

10030 Gilead Rd
Ste 201
Huntersville, NC 28078
Phone (704) 598-6042

9930 Kincey Ave
Ste 200
Huntersville, NC 28078
Phone (704) 887-4530

1710 Kernersville Medical Pkwy
Ste 210
Kernersville, NC 27284
Phone (336) 564-4065

1710 Kernersville Medical Pkwy
Ste 220
Kernersville, NC 27284
Phone (336) 564-4035

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

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

211 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-1191

100 Robinhood Medical Plz
Winston Salem, NC 27106
Phone (336) 718-0560

1901 S Hawthorne Rd
Ste 210
Winston Salem, NC 27103
Phone (336) 718-5000

1901 S Hawthorne Rd
Ste 220
Winston Salem, NC 27103
Phone (336) 718-6777

250 Charlois Blvd
Winston Salem, NC 27103
Phone (336) 718-1000

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

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1902089345",
    "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": "336-794-8624",
            "fax_number": "336-231-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2827 LYNDHURST AVE",
            "address_2": "SUITE 203",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034145",
            "telephone_number": "336-794-8624",
            "fax_number": "336-231-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "SHAWN",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-07",
        "last_updated": "2020-10-25",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "121855",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NC",
            "license": "2009-00948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5911874",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sfleming36575@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "2827 Lyndhurst Ave",
            "address_2": "Suite 203",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271034145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.