AVERY MICHAEL DUNCAN MD
NPI 1083421440
Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Q: What is Avery Duncan's NPI number?

The NPI number for Avery Duncan is 1083421440. It was assigned to this individual provider in the NPPES registry on December 18, 2024.

Q: What is Avery Duncan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Avery Duncan was last updated on June 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 18, 2024PECOS Enrolled

ONE MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157(336) 716-4498 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 5, 2025, Apr 8, 2025, Mar 28, 2025 and 1 more (4 updates tracked since 2024).

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About Avery Michael Duncan Md NPPES

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

AVERY MICHAEL DUNCAN MD (NPI 1083421440) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Savannah.

NPPES Registry Identity

NPI1083421440

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameAVERY MICHAEL DUNCANCredential: MD

Location AddressONE MEDICAL CENTER BLVDWinston Salem, NC 27157-5704

Mailing AddressGround Floor Meads Hall Suite B Medical Center BoulevWinston Salem, NC 27157-0001

Phone(336) 716-4498

Sole ProprietorYes

Enumeration DateDecember 18, 2024

Last NPPES UpdateJune 5, 20254 updates tracked since enumeration

NPPES CertifiedJune 5, 2025

✔ NPI 1083421440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

ONE MEDICAL CENTER BLVD, Winston Salem, NC 27157

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Secondary Practice Location 1

Location 11250 E 66th StSavannah, GA 31404-5704 · Phone (800) 637-2378

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Avery Michael Duncan Md 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.

ANNA LARUSSA MD

Student in an Organized Health Care Education/Training Program