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EVERGREEN HEALTH PROMOTION,P.A.
NPI 1154332971
Internal Medicine in Winston Salem, NC

Active since August 10, 2006CLIA 34D0940864 · Waiver
1365 WESTGATE CENTER DR, STE G1, WINSTON SALEM, NC 27103(336) 659-6250(336) 659-6250 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evergreen Health Promotion,p.a. NPPES

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

EVERGREEN HEALTH PROMOTION,P.A. (NPI 1154332971) is a healthcare organization registered as an internal medicine in Winston Salem, North Carolina and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through May 28, 2027 and lists Naomi Hanna Greenberg, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1154332971
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEVERGREEN HEALTH PROMOTION,P.A.
Location Address1365 WESTGATE CENTER DR, STE G1Winston Salem, NC 27103
Mailing Address1365 Westgate Center Dr, Ste G1Winston Salem, NC 27103 · (336) 659-6250 · Fax (336) 659-6239
Phone(336) 659-6250
Fax(336) 659-6250
Organization SubpartNo
Authorized OfficialNaomi Hanna GreenbergPractice Administrator · (336) 659-0020
Enumeration DateAugust 10, 2006
Last NPPES UpdateSeptember 22, 2022
NPPES CertifiedSeptember 22, 2022
✔ NPI 1154332971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1365 WESTGATE CENTER DR, Winston Salem, NC 27103
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Other Identifiers 1

Medicaid8916312NC

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

CLIA Laboratory Certificates CMS CLIA

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 34D0940864

Evergreen Health Promotion · Winston Salem, NC
Active · expires May 28, 2027
CLIA Number34D0940864
Laboratory TypePhysician Office
Certificate Effective DateMay 29, 2025
Certificate Expiration DateMay 28, 2027
Laboratory DirectorRobert L. Bloomfield
Laboratory Phone(336) 659-6250
Laboratory LocationEvergreen Health Promotion1365 Westgate Center Drive, Suite G1, Winston Salem, NC 27103
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES L SANDERFORD JR. MD
Radiology (Diagnostic Radiology)
1365 WESTGATE CENTER DR, SUITE K-1
WINSTON SALEM, NC 27103
Forsyth County (336) 760-4450
FAMILY CARE OF WINSTON-SALEM, PA
Family Medicine
1365 WESTGATE CENTER DR, STE C1
WINSTON-SALEM, NC 27103
Forsyth County (336) 768-6682
MED SOLUTIONS COMPOUNDING PHARMACY,INC
Pharmacist
1365 WESTGATE CENTER DR, SUITE F-2
WINSTON SALEM, NC 27103
Forsyth County (336) 765-4406
MS. CANDICE RAE SOTRIFFER M.A. ED.S LPC
Counselor (Professional)
1365 WESTGATE CENTER DR, SUITE A-2
WINSTON SALEM, NC 27103
Forsyth County (336) 416-0016
PAUL J BEERMAN M.D.
Radiology (Diagnostic Radiology)
1365 WESTGATE CENTER DR, SUITE K-1
WINSTON SALEM, NC 27103
Forsyth County (336) 760-4450
YADKIN RIVER RADIOLOGY PA
Radiology (Diagnostic Radiology)
1365 WESTGATE CENTER DR, SUITE K-1
WINSTON SALEM, NC 27103
Forsyth County (336) 760-4450
CAROLINA IV SOLUTIONS, INC
Pharmacy (Home Infusion Therapy Pharmacy)
1365 WESTGATE CENTER DR, G-2
WINSTON SALEM, NC 27103
Forsyth County (336) 760-8333
JANE TASTET MA, LCMHCA
Counselor (Mental Health)
1365 WESTGATE CENTER DR
WINSTON SALEM, NC 27103
Forsyth County (336) 619-2680

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 Evergreen Health Promotion,p.A.'s NPI number?

The NPI number for Evergreen Health Promotion,p.A. is 1154332971. It was assigned to this organization in the NPPES registry on August 10, 2006.

Where is Evergreen Health Promotion,p.A. located?

Evergreen Health Promotion,p.A. is located at 1365 Westgate Center Dr Ste G1, Winston Salem, NC 27103. The listed phone number is (336) 659-6250.

What is Evergreen Health Promotion,p.A.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Evergreen Health Promotion,p.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0940864) is associated with this NPI, valid through May 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Evergreen Health Promotion,p.A. was last updated on September 22, 2022. 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.