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DIGESTIVE HEALTH SPECIALISTS, PA
NPI 1073745485
Internal Medicine - Gastroenterology in Advance, NC

Active since August 18, 2009CLIA Certified · 9 labs
112 KINDERTON BLVD, ADVANCE, NC 27006(336) 768-6211(336) 768-6869 Get Directions Write a Review

NPPES record last updated: April 4, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Digestive Health Specialists, Pa NPPES

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

DIGESTIVE HEALTH SPECIALISTS, PA (NPI 1073745485) is a healthcare organization registered as a gastroenterology in Advance, North Carolina and active in the NPI registry since August 2009. The organization holds 9 active CLIA laboratory certificates and lists Jacquelyn Tillinger, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073745485
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameDIGESTIVE HEALTH SPECIALISTS, PA
Location Address112 KINDERTON BLVDAdvance, NC 27006
Mailing Address2025 Frontis Plaza Blvd, Suite 200Winston Salem, NC 27103-5663 · (336) 768-6211 · Fax (336) 768-6869
Phone(336) 768-6211
Fax(336) 768-6869
Organization SubpartNo
Authorized OfficialJacquelyn TillingerCeo · (336) 768-6211
Enumeration DateAugust 18, 2009
Last NPPES UpdateApril 4, 2017
✔ NPI 1073745485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
112 KINDERTON BLVD, Advance, NC 27006
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Digestive Health Specialists, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

19

Medicare enrollment records show 19 clinicians reassign Medicare billing to Digestive Health Specialists, PA, which bills Medicare for the services they deliver. Of these, 17 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Gastroenterology15
Hospitalist1
Internal Medicine1
Pathology1
Registered Dietitian or Nutrition Professional1

Clinicians, nearest first (19)

Nicholas Koutlas, MD
Gastroenterology
NPI 1932605821
195 KIMEL PARK DR STE 200
Winston Salem, NC 27103
(336) 768-6211
✔ PECOS✔ Accepts Medicare7.6 mi
Murat Akdamar, MD
Gastroenterology
NPI 1386678225
195 KIMEL PARK DR STE 200
Winston Salem, NC 27103
(336) 768-6211
✔ PECOS✔ Accepts Medicare7.6 mi
Tilak Baba
Gastroenterology
NPI 1093058307
195 KIMEL PARK DR STE 200
Winston Salem, NC 27103
(336) 768-6211
✔ PECOS✔ Accepts Medicare7.6 mi
William Bray, MD
Gastroenterology
NPI 1952345951
195 KIMEL PARK DR STE 200
Winston Salem, NC 27103
(336) 768-6211
✔ PECOS7.6 mi
Jeremy Gillespie, M.D.
Gastroenterology
NPI 1407146319
195 KIMEL PARK DR STE 200
Winston Salem, NC 27103
(336) 768-6211
✔ PECOS✔ Accepts Medicare7.6 mi
Marcum Gillis, MD
Gastroenterology
NPI 1053571620
195 KIMEL PARK DR STE 200
Winston Salem, NC 27103
(336) 768-6211
✔ PECOS✔ Accepts Medicare7.6 mi
Ingrid Gonzalez, M.D.
Gastroenterology
NPI 1205034147
195 KIMEL PARK DR STE 200
Winston Salem, NC 27103
(336) 768-6211
✔ PECOS✔ Accepts Medicare7.6 mi
Christopher Jue, MD
Gastroenterology
NPI 1750506226
195 KIMEL PARK DR STE 200
Winston Salem, NC 27103
(336) 768-6211
✔ PECOS✔ Accepts Medicare7.6 mi
Charles Katopes, M.D.
Gastroenterology
NPI 1184701377
195 KIMEL PARK DR STE 200
Winston Salem, NC 27103
(336) 768-6211
✔ PECOS✔ Accepts Medicare7.6 mi
Nicholas Netherland, M.D.
Gastroenterology
NPI 1639262231
195 KIMEL PARK DR STE 200
Winston Salem, NC 27103
(336) 768-6211
✔ PECOS✔ Accepts Medicare7.6 mi
Michael Noujaim, M.D.
Hospitalist
NPI 1457883241
195 KIMEL PARK DR STE 200
Winston Salem, NC 27103
(336) 768-6211
✔ PECOS✔ Accepts Medicare7.6 mi
Apsara Prasad, M.D.
Gastroenterology
NPI 1427213149
195 KIMEL PARK DR STE 200
Winston Salem, NC 27103
(336) 768-6211
✔ PECOS✔ Accepts Medicare7.6 mi
Dhyan Rajan, MD
Gastroenterology
NPI 1932351830
195 KIMEL PARK DR STE 200
Winston Salem, NC 27103
(336) 768-6211
✔ PECOS✔ Accepts Medicare7.6 mi
David Ramsay, M.D.
Gastroenterology
NPI 1932385796
195 KIMEL PARK DR STE 200
Winston Salem, NC 27103
(336) 768-6211
✔ PECOS✔ Accepts Medicare7.6 mi
Ramya Vestal, M.D.
Gastroenterology
NPI 1750699229
195 KIMEL PARK DR STE 200
Winston Salem, NC 27103
(336) 768-6211
✔ PECOS✔ Accepts Medicare7.6 mi
Jerald Winter, M.D.
Pathology
NPI 1245297316
195 KIMEL PARK DR STE 200
Winston Salem, NC 27103
(336) 768-6211
✔ PECOS✔ Accepts Medicare7.6 mi
Neal Sharma, MD
Internal Medicine
NPI 1902225535
500 SHEPHERD ST STE 300
Winston Salem, NC 27103
(336) 713-7777
✔ PECOS✔ Accepts Medicare8.7 mi
Joseph Wawrzynski
Gastroenterology
NPI 1023570033
2301 ERWIN RD
Durham, NC 27705
(919) 684-8111
✔ PECOS✔ Accepts Medicare83 mi
Ann Kane Ferguson, RD
Registered Dietitian or Nutrition Professional
NPI 1659631497
3100 DURALEIGH RD STE 200
Raleigh, NC 27612
(984) 215-4570
✔ Accepts Medicare97 mi

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

CLIA Laboratory Certificates CMS CLIA 10

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D1103752

Digestive Health Specialists PA · Advance, NC
Active · expires Aug 17, 2027
CLIA Number34D1103752
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 18, 2025
Certificate Expiration DateAugust 17, 2027
Laboratory DirectorNicholas A. Netherland
Laboratory Phone(336) 768-6211
Laboratory LocationDigestive Health Specialists PA112 Kinderton Blvd, Suite 100 - Clinic, Advance, NC 27006
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2157925

Digestive Health Specialists, PA · Advance, NC
Active · expires Nov 15, 2026
CLIA Number34D2157925
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorNicholas A. Netherland
Laboratory Phone(336) 768-6211
Laboratory LocationDigestive Health Specialists, PA112 Kinderton Boulevard - ASC, Advance, NC 27006
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D0237517

Digestive Health Specialists, PA · Winston Salem, NC
Active · expires Aug 31, 2028
CLIA Number34D0237517
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorRamya Vestal
Laboratory Phone(336) 768-6211
Laboratory LocationDigestive Health Specialists, PA195 Kimel Park Drive, Suite 200- Clinic, Winston Salem, NC 27103
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D1086999

Digestive Health Specialists PA · Kernersville, NC
Active · expires Jul 23, 2028
CLIA Number34D1086999
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 24, 2026
Certificate Expiration DateJuly 23, 2028
Laboratory DirectorCharles P. Katopes III
Laboratory Phone(336) 768-6211
Laboratory LocationDigestive Health Specialists PA280 Broad Street, Suite F - Clinic, Kernersville, NC 27284
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D1078103

Digestive Health Specialists PA · Thomasville, NC
Active · expires Dec 30, 2027
CLIA Number34D1078103
Laboratory TypePhysician Office
Certificate Effective DateDecember 31, 2025
Certificate Expiration DateDecember 30, 2027
Laboratory DirectorDavid B. Ramsay
Laboratory Phone(336) 768-6211
Laboratory LocationDigestive Health Specialists PA137 Mount Calvary Road, Suite A - Clinic, Thomasville, NC 27360
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2157921

Digestive Health Specialists, PA · Thomasville, NC
Active · expires Nov 15, 2026
CLIA Number34D2157921
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorDavid B. Ramsay
Laboratory Phone(336) 768-6211
Laboratory LocationDigestive Health Specialists, PA137 Mount Calvary Road - ASC, Thomasville, NC 27360
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Digestive Health Specialists, PA's NPI number?

The NPI number for Digestive Health Specialists, PA is 1073745485. It was assigned to this organization in the NPPES registry on August 18, 2009.

Where is Digestive Health Specialists, PA located?

Digestive Health Specialists, PA is located at 112 Kinderton Blvd, Advance, NC 27006. The listed phone number is (336) 768-6211.

What is Digestive Health Specialists, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Digestive Health Specialists, PA enrolled in Medicare?

Yes. Digestive Health Specialists, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Digestive Health Specialists, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 5 Medicare specialties reassign their Medicare billing to Digestive Health Specialists, PA. 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. The largest specialties are Gastroenterology (15), Hospitalist (1) and Internal Medicine (1). Of these, 17 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Digestive Health Specialists, PA hold CLIA laboratory certificates?

Yes. 9 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Digestive Health Specialists, PA was last updated on April 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.