NPIMap

Organization Active NPI

Mdfamily Medical Group

  • Family Medicine Physician
  • Winston Salem, NC
National Provider Identifier
1922274240
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MDFAMILY MEDICAL GROUP
Practice address
138 S Cherry St
Winston Salem, NC 27101-5272
Phone
(704) 527-6322
NPI assigned
May 6, 2008
Last updated
May 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Audrey Sanders
Title
Chief Operations Officer
Phone
(704) 527-6322

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Pediatrics Physician 208000000X NU

Addresses

Primary practice location

138 S Cherry St
Winston Salem, NC 27101-5272

Mailing address

4530 Park Rd Ste 200
Charlotte, NC 28209-3790

National Provider Directory

National Provider Directory
Tax ID family
Mdfamily Medical Group21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

138 S Cherry St
Winston Salem, NC 27101

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1922274240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 PARK RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 S CHERRY ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271015272",
            "telephone_number": "704-527-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDFAMILY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "704-527-6322"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.