SAMUEL WADE MCGINNIS LCMHC
NPI 1336650332
Counselor - Mental Health in Winston Salem, NC

Active since October 17, 2017PECOS EnrolledAccepts Medicare Assignment
175 KIMEL PARK DR STE 100, WINSTON SALEM, NC 27103(336) 277-1800(336) 277-6981 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 22, 2024, Jul 25, 2023, Oct 25, 2020 and 1 more (4 updates tracked since 2017).

About Samuel Wade Mcginnis Lcmhc NPPES

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

SAMUEL WADE MCGINNIS LCMHC (NPI 1336650332) is an individual mental health provider in Winston Salem, North Carolina, licensed in North Carolina (7736) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1336650332
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSAMUEL WADE MCGINNISCredential: LCMHC
Location Address175 KIMEL PARK DR STE 100Winston Salem, NC 27103-6951
Mailing AddressPo Box 75216Charlotte, NC 28275-0216 · (336) 277-1800 · Fax (336) 277-6981
Fax(336) 277-6981
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 17, 2017
Last NPPES UpdateAugust 22, 20244 updates tracked since enumeration
NPPES CertifiedAugust 22, 2024
NPI 1336650332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NC · 7736
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 7736 (NC)
175 KIMEL PARK DR STE 100, Winston Salem, NC 27103

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Samuel Wade Mcginnis Lcmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375993603
PECOS Enrollment IDI20231228001093
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

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.

Counselor (Professional)
175 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Counselor (Mental Health)
175 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Social Worker (Clinical)
175 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Nurse Practitioner
175 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Social Worker (Clinical)
175 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Social Worker (Clinical)
175 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Physician Assistant
175 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Psychiatry & Neurology (Psychiatry)
175 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103

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 Samuel Mcginnis's NPI number?

The NPI number for Samuel Mcginnis is 1336650332. It was assigned to this individual provider in the NPPES registry on October 17, 2017.

Where is Samuel Mcginnis located?

Samuel Mcginnis practices at 175 Kimel Park Dr Ste 100, Winston Salem, NC 27103. The listed phone number is (336) 277-1800.

What is Samuel Mcginnis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Samuel Mcginnis enrolled in Medicare?

Yes. Samuel Mcginnis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Samuel Mcginnis accept?

Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Samuel Mcginnis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Samuel Mcginnis affiliated with any hospitals?

According to CMS data, Samuel Mcginnis is affiliated with Novant Health Forsyth Medical Center.

When was this NPI record last updated?

The NPPES record for Samuel Mcginnis was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.