JESSICA MARIE SOUZA MD
NPI 1316740632
Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Active since March 31, 2025PECOS Enrolled
SURGERY OUTPATIENT CLINIC - 5 JANEWAY TOWER, 1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157(336) 716-0423(336) 716-5537 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jessica Marie Souza Md NPPES

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

JESSICA MARIE SOUZA MD (NPI 1316740632) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316740632
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJESSICA MARIE SOUZACredential: MD
Location AddressSURGERY OUTPATIENT CLINIC - 5 JANEWAY TOWER, 1 MEDICAL CENTER BLVDWinston Salem, NC 27157
Mailing AddressSurgery Outpatient Clinic - 5 Janeway Tower, 1 Medical Center BlvdWinston Salem, NC 27157 · (336) 716-0423 · Fax (336) 716-5537
Fax(336) 716-5537
Sole ProprietorNo
Enumeration DateMarch 31, 2025
NPPES CertifiedMarch 31, 2025
NPI 1316740632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

SURGERY OUTPATIENT CLINIC - 5 JANEWAY TOWER, Winston Salem, NC 27157

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jessica Marie Souza 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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316740632, enumerated as an "individual" on March 31, 2025.

The provider is located at SURGERY OUTPATIENT CLINIC - 5 JANEWAY TOWER 1 MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 and the phone number is (336) 716-0423.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.