Active NPI
Shawn Howard Fleming, MD
- Vascular Surgery Physician
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 2009-00948
- 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, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5911874 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular 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, LLC
Practice addresses (Care Compare)
2827 Lyndhurst Ave
Suite 203
Winston Salem, NC 27103-4145
Phone (336) 794-8624
Hospital & facility affiliations
- Novant Health Forsyth Medical Center
- Novant Health Medical Park Hospital
- Northern Regional Hospital
- Novant Health Thomasville Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 15 |
| Leg revascularization (restoring blood flow) | 21 |
| Removal of tissue | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121855 | NC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest Health Network, LLC | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Forsyth Memorial Hospital Inc | Vascular Surgery | Current | 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 | Current | Accepting new patients | |
| Wake Forest Health Network LLC | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Cornerstone Healthcare LLC | Surgery | Current | Accepting new patients |
| Forsyth Memorial Hospital, Inc. | Current | 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 | 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.
-
dba NH Forsyth Primary Care Clinics
- Family Medicine Physician
- Winston Salem, NC
- NPI 1104548874
-
dba Novant Health Endocrinology
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1306950282
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
dba Novant Health Senior Care
- Geriatric Medicine (Internal Medicine) Physician
- Charlotte, NC
- NPI 1053365817
-
dba Atrium Health Wake Forest Baptist Pediatrics - Greensboro
- Pediatrics Physician
- Greensboro, NC
- NPI 1477785756
-
dba Cornerstone Comprehensive Wound Care Center
- Surgery Physician
- High Point, NC
- NPI 1861887713
-
dba Novant Health Wound Care & Hyperbaric Medicine
- Infectious Disease Physician
- Winston Salem, NC
- NPI 1255755963
Vascular Surgery
-
dba Novant Health Heart & Vascular Institute - Frontis Plaza
- Cardiovascular Disease Physician
- Winston Salem, NC
- NPI 1932935475
-
dba Novant Health Elizabeth OB/GYN
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
dba Novant Health Heart and Vascular Institute
- Cardiovascular Disease Physician
- High Point, NC
- NPI 1972106268
-
dba Novant Health Urology Partners
- Urology Physician
- Bolivia, NC
- NPI 1982979399
-
dba Novant Health Heart and Vascular Institute
- Cardiovascular Disease Physician
- Huntersville, NC
- NPI 1053655647
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Novant Health Forsyth Medical Center
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1447200233
-
dba Novant Health Medical Park Hospital
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1538111828
-
dba North Hospital of Surry County
- General Acute Care Hospital
- Mount Airy, NC
- NPI 1366449282
-
dba Novant Health Thomasville Medical Center
- General Acute Care Hospital
- Thomasville, NC
- NPI 1801848767
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.