NOVANT HEALTH PIEDMONT VEIN
NPI 1114222700
Internal Medicine - Cardiovascular Disease in Winston Salem, NC

Active since January 13, 2011
150 CHARLOIS BLVD, SUITE 290, WINSTON SALEM, NC 27103(336) 765-2500(336) 765-2555 Get Directions Write a Review

NPPES record last updated: June 21, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Novant Health Piedmont Vein NPPES

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

NOVANT HEALTH PIEDMONT VEIN (NPI 1114222700) is a healthcare organization registered as a cardiovascular disease in Winston Salem, North Carolina and active in the NPI registry since January 2011. The organization lists Geoffrey K Gardner, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1114222700
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameNMG AFFILIATE PRACTICE I LLC
Location Address150 CHARLOIS BLVD, SUITE 290Winston Salem, NC 27103-1549
Mailing AddressPo Box 602362Charlotte, NC 28260-2362 · (704) 384-7840 · Fax (704) 384-7830
Fax(336) 765-2555
Organization SubpartNo
Authorized OfficialGeoffrey K GardnerVp Of Finance · (336) 765-2500
Enumeration DateJanuary 13, 2011
Last NPPES UpdateJune 21, 2013
✔ NPI 1114222700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
150 CHARLOIS BLVD, Winston Salem, NC 27103

Other Names 1

Doing Business AsNovant Health Piedmont Vein

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Novant Health Piedmont Vein 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 Novant Health Piedmont Vein, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Psychiatry
NPI 1699974402
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 718-3550
✔ PECOS✔ Accepts Medicare0.7 mi
Family Practice
NPI 1962664789
2160 S 1ST AVE
Maywood, IL 60153
(708) 216-9000
✔ PECOS✔ Accepts Medicare568 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 Nmg Affiliate Practice I LLC's NPI number?

The NPI number for Nmg Affiliate Practice I LLC is 1114222700. It was assigned to this organization in the NPPES registry on January 13, 2011. The provider is doing business as Novant Health Piedmont Vein.

Where is Nmg Affiliate Practice I LLC located?

Nmg Affiliate Practice I LLC is located at 150 Charlois Blvd Suite 290, Winston Salem, NC 27103. The listed phone number is (336) 765-2500.

What is Nmg Affiliate Practice I LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Nmg Affiliate Practice I LLC enrolled in Medicare?

Yes. Nmg Affiliate Practice I LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nmg Affiliate Practice I LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Nmg Affiliate Practice I LLC, in Family Practice and Psychiatry. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nmg Affiliate Practice I LLC was last updated on June 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.