Individual provider Active NPI

Edward Gray Hill Jr., M.D.

  • Specialist
  • Winston Salem, NC
National Provider Identifier
1992795785
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
26263 Issued in NC
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

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
26263OtherNCLICENSE
8911609MedicaidNC

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
Green means eligible to order or refer.

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 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26263NCMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Spine and Neurology, PLLC Neurology CurrentSince Mar 4, 2026 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.