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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CHARLES ANDREW MARTIN PAC
NPI 1124002589
Physician Assistant - Surgical in Winston Salem, NC

Active since November 30, 2005
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157(336) 716-2255 Get Directions Write a Review

NPPES record last updated: July 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles Andrew Martin Pac NPPES

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

CHARLES ANDREW MARTIN PAC (NPI 1124002589) is an individual surgical provider in Winston Salem, North Carolina, licensed in North Carolina (000100120) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1124002589
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameCHARLES ANDREW MARTINCredential: PAC
Location AddressMEDICAL CENTER BLVDWinston Salem, NC 27157-0001
Mailing AddressPo Box 344Winston Salem, NC 27102-0344 · (336) 716-2255
Phone(336) 716-2255
Sole ProprietorNo
Enumeration DateNovember 30, 2005
Last NPPES UpdateJuly 19, 2026
✔ NPI 1124002589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NC · 000100120
MEDICAL CENTER BLVD, Winston Salem, NC 27157
Open in Google Maps ↗

Other Identifiers 2

Other7845637Aetna
Other94717NC · Medcost

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.

CRAIG MICHAEL COMBS MD
Anesthesiology
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2255
MR. KAMRON YORK BENFIELD PA
Physician Assistant (Medical)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-4838
ANDREA WHITLEY PEYTON PA-C
Physician Assistant (Medical)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2011
AMR SHERIF MOHAMED RIFAA EL HARAKI MD
Obstetrics & Gynecology
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2255
DR. MICHAEL JOSEPH MCCORMACK JR. M.D.
Internal Medicine (Hematology & Oncology)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2255
RANDALL STEPHAN CONRAD MD
Hospitalist
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-4305
NICHOLAS RYAN TUTTLE CRNA
Nurse Anesthetist, Certified Registered
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 409-1797
DR. ANALICIA MARIE ALVARADO MD
Internal Medicine (Nephrology)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2255

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 Charles Martin's NPI number?

The NPI number for Charles Martin is 1124002589. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Where is Charles Martin located?

Charles Martin practices at Medical Center Blvd, Winston Salem, NC 27157. The listed phone number is (336) 716-2255.

What is Charles Martin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Charles Martin was last updated on July 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.