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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: August 09, 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
Phone(336) 716-0423
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

★ 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.
SURGERY OUTPATIENT CLINIC - 5 JANEWAY TOWER, Winston Salem, NC 27157
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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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Souza's NPI number?

The NPI number for Jessica Souza is 1316740632. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Jessica Souza located?

Jessica Souza practices at Surgery Outpatient Clinic - 5 Janeway Tower 1 Medical Center Blvd, Winston Salem, NC 27157. The listed phone number is (336) 716-0423.

What is Jessica Souza's specialty?

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

Is Jessica Souza enrolled in Medicare?

Yes. Jessica Souza is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Souza was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.