ANDREA WHITLEY PEYTON PA-C
NPI 1003100850
Physician Assistant - Medical in Winston Salem, NC

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

Active since June 08, 2011PECOS Enrolled

MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157(336) 716-2011 Get Directions Write a Review

NPPES record last updated: July 26, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 26, 2018, Jun 18, 2018 (2 updates tracked since 2018).

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About Andrea Whitley Peyton Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA WHITLEY PEYTON PA-C (NPI 1003100850) is an individual medical provider in Winston Salem, North Carolina, licensed in North Carolina (0010-02920) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1003100850

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameANDREA WHITLEY PEYTONCredential: PA-C

Location AddressMEDICAL CENTER BLVDWinston Salem, NC 27157

Mailing AddressMedical Center BlvdWinston Salem, NC 27157-0001 · (336) 716-2255

Phone(336) 716-2011

Sole ProprietorNo

Enumeration DateJune 8, 2011

Last NPPES UpdateJuly 26, 20182 updates tracked since enumeration

✔ NPI 1003100850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NC · 0010-02920

MEDICAL CENTER BLVD, Winston Salem, NC 27157

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Secondary Practice Location 1

Location 13155 Maplewood AveWinston Salem, NC 27103-3903 · Phone (336) 794-4372

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Whitley Peyton Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. GARY LEE RAY MSN, CRNA

Nurse Anesthetist, Certified Registered