DOCTORS OWN URGENT CARE
NPI 1023734803
Clinic/Center - Urgent Care in Winston Salem, NC

Active since October 13, 2022
4807 COUNTRY CLUB RD, WINSTON SALEM, NC 27104(262) 364-8060 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 10, 2023, Oct 13, 2022 (2 updates tracked since 2022).

About Doctors Own Urgent Care NPPES

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

DOCTORS OWN URGENT CARE (NPI 1023734803) is a healthcare organization registered as an urgent care in Winston Salem, North Carolina and active in the NPI registry since October 2022. The organization lists Trent Walker Dietsche, Physician Medical Director, as its authorized official.

NPPES Registry Identity

NPI1023734803
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameDOCTORS OWN URGENT CARE
Location Address4807 COUNTRY CLUB RDWinston Salem, NC 27104-4503
Mailing Address5692 Mossbank LnWinston Salem, NC 27106-9839 · (262) 364-8060
Organization SubpartNo
Authorized OfficialTrent Walker DietschePhysician Medical Director · (262) 364-8060
Enumeration DateOctober 13, 2022
Last NPPES UpdateJuly 10, 20232 updates tracked since enumeration
NPPES CertifiedJuly 10, 2023
✔ NPI 1023734803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
4807 COUNTRY CLUB RD, Winston Salem, NC 27104

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Doctors Own Urgent Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Doctors Own Urgent Care, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1164910501
4807 COUNTRY CLUB RD
Winston Salem, NC 27104
(336) 245-8159
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1821385659
270 PINE MOUNTAIN RD STE 2
Hudson, NC 28638
(828) 757-6330
✔ PECOS✔ Accepts Medicare66 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Doctors Own Urgent Care's NPI number?

The NPI number for Doctors Own Urgent Care is 1023734803. It was assigned to this organization in the NPPES registry on October 13, 2022.

Where is Doctors Own Urgent Care located?

Doctors Own Urgent Care is located at 4807 Country Club Rd, Winston Salem, NC 27104. The listed phone number is (262) 364-8060.

What is Doctors Own Urgent Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Doctors Own Urgent Care enrolled in Medicare?

Yes. Doctors Own Urgent Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Doctors Own Urgent Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Doctors Own Urgent Care, in Family Practice and Internal Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Doctors Own Urgent Care was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.