Active NPI
Stephanie Bialas Sturgill, MD
- Dermatology Physician
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 2007-00625
- Practice address
- 175 Kimel Park Dr
Dba Winston-Salem Healthcare
Winston Salem, NC 27103-6951 - Phone
- (336) 718-1006
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A81542 | CA | |
| Dermatology Physician | 207N00000X | 2007-00625 | NC | Primary |
Addresses
Primary practice location
175 Kimel Park Dr
Dba Winston-Salem Healthcare
Winston Salem, NC 27103-6951
Mailing address
PO Box 751803
Charlotte, NC 28275-1803
Phone (336) 718-1006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5907602 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ssturgill13382@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
- Dermatology
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
175 Kimel Park Dr
Winston Salem, NC 27103-6951
Phone (336) 718-1006
Hospital & facility affiliations
- Novant Health Forsyth Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 26 |
| Removal of skin lesions | 554 |
| Skin biopsy | 152 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A81542 | CA | MD | Dermatology Physician |
| 2007-00625 | NC | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forsyth Memorial Hospital, Inc. | Dermatology | Current | Accepting new patients |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc | Past | Accepting new patients |
Locations
6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473
291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181
175 Kimel Park Dr
Ste 100
Winston Salem, NC 27103
Phone (336) 277-1811
175 Kimel Park Dr
Winston Salem, NC 27103
Phone (336) 718-1006
Interoperability endpoints
- ssturgill13382@direct.novanthealth.org
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Winston Salem, NC
- NPI 1104548874
-
- Dermatology Physician
- Winston Salem, NC
- NPI 1114649894
-
- Cardiovascular Disease Physician
- Winston Salem, NC
- NPI 1932935475
-
- Family Medicine Physician
- Mount Airy, NC
- NPI 1295783108
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1447200233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1902838006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751803",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751803",
"telephone_number": "336-718-1006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 KIMEL PARK DR",
"address_2": "DBA WINSTON-SALEM HEALTHCARE",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036951",
"telephone_number": "336-718-1006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STURGILL",
"first_name": "STEPHANIE",
"middle_name": "BIALAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "A81542",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NC",
"license": "2007-00625",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5907602",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ssturgill13382@direct.novanthealth.org",
"affiliation": "N",
"address_1": "175 Kimel Park Dr",
"address_2": "DBA Winston-Salem Healthcare",
"city": "Winston Salem",
"state": "NC",
"country_code": "US",
"postal_code": "271036951",
"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, 2023; 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.