Active NPI
Edward Gray Hill Jr., M.D.
- Specialist
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 26263
- Practice address
- 1605 Westbrook Plaza Dr Ste 302
Winston Salem, NC 27103-2900 - Phone
- (336) 760-3007
- Fax
- (336) 760-9334
- NPI assigned
- Oct 24, 2005
- 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 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Psychologist | 103TH0004X | 26263 | NC | |
| Diagnostic Neuroimaging (Psychiatry & Neurology) Physician | 2084D0003X | 26263 | NC | |
| Neuromuscular Medicine (Psychiatry & Neurology) Physician | 2084N0008X | 26263 | NC | |
| Neurology Physician | 2084N0400X | 26263 | NC | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 26263 | NC | |
| Clinical Neurophysiology Physician | 2084N0600X | 26263 | NC | |
| Neurodevelopmental Disabilities Physician | 2084P0005X | 26263 | NC | |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | 26263 | NC | |
| Vascular Neurology Physician | 2084V0102X | 26263 | NC | |
| Specialist | 174400000X | 26263 | NC | Primary |
Addresses
Primary practice location
1605 Westbrook Plaza Dr Ste 302
Winston Salem, NC 27103-2900
Mailing address
1605 Westbrook Plaza Dr Ste 302
Winston Salem, NC 27103-2900
Phone (336) 760-3007
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26263 | Other | NC | LICENSE |
| 8911609 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Wake Forest University School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3333 Brookview Hills Blvd
Suite 104
Winston Salem, NC 27103-5661
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26263 | NC | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Spine and Neurology, PLLC | Neurology | Current | Accepting new patients |
Locations
1370 Piedmont Dr
Ste 202
Lexington, NC 27295
Phone (336) 249-6632
3333 Brookview Hills Blvd
Ste 104
Winston Salem, NC 27103
Phone (336) 760-3007
Organizations & group practices 1
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.
-
- Neurological Surgery Physician
- Kernersville, NC
- NPI 1265150494
Neurology
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lexington, NC
- NPI 1417958331
-
- General Acute Care Hospital
- Greensboro, NC
- NPI 1477591055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711929600000",
"number": "1992795785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 WESTBROOK PLAZA DR STE 302",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271032900",
"telephone_number": "336-760-3007",
"fax_number": "336-760-9334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 WESTBROOK PLAZA DR STE 302",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271032900",
"telephone_number": "336-760-3007",
"fax_number": "336-760-9334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "EDWARD",
"middle_name": "GRAY",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2024-04-01",
"certification_date": "2024-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "NC",
"license": "26263",
"primary": false
},
{
"code": "2084D0003X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
"state": "NC",
"license": "26263",
"primary": false
},
{
"code": "2084N0008X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neuromuscular Medicine",
"state": "NC",
"license": "26263",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NC",
"license": "26263",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "NC",
"license": "26263",
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "NC",
"license": "26263",
"primary": false
},
{
"code": "2084P0005X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
"state": "NC",
"license": "26263",
"primary": false
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "NC",
"license": "26263",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "NC",
"license": "26263",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "26263",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "26263",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8911609",
"state": "NC"
}
],
"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 Apr 1, 2024; 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.