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MONOGRAM HEALTH PROFESSIONAL SERVICES OF NORTH CAROLINA PC
NPI 1366162885
Internal Medicine - Nephrology in Winston Salem, NC

Active since September 02, 2022CLIA 34D2332945 · Waiver
615 SAINT GEORGE SQUARE CT STE 300, WINSTON SALEM, NC 27103(615) 673-4455(615) 432-4651 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2022, Sep 2, 2022 (2 updates tracked since 2022).

About Monogram Health Professional Services Of North Carolina Pc NPPES

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

MONOGRAM HEALTH PROFESSIONAL SERVICES OF NORTH CAROLINA PC (NPI 1366162885) is a healthcare organization registered as a nephrology in Winston Salem, North Carolina and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through October 27, 2027 and lists Shawn L Verner, Secretary, as its authorized official.

NPPES Registry Identity

NPI1366162885
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameMONOGRAM HEALTH PROFESSIONAL SERVICES OF NORTH CAROLINA PC
Location Address615 SAINT GEORGE SQUARE CT STE 300Winston Salem, NC 27103-1368
Mailing Address5410 Maryland Way Ste 400Brentwood, TN 37027-8087 · (615) 465-8684 · Fax (629) 240-6003
Phone(615) 673-4455
Fax(615) 432-4651
Organization SubpartNo
Authorized OfficialShawn L VernerSecretary · (615) 994-1889
Enumeration DateSeptember 2, 2022
Last NPPES UpdateJanuary 29, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2025
✔ NPI 1366162885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X
Also ListedSpecialistTaxonomy 174400000X
Also ListedPharmacist · CardiologyTaxonomy 1835C0206X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal Medicine · Advanced Heart Failure and Transplant CardiologyTaxonomy 207RA0001X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
615 SAINT GEORGE SQUARE CT STE 300, Winston Salem, NC 27103
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 34D2332945

Monogram Health, Inc · Winston-Salem, NC
Active · expires Oct 27, 2027
CLIA Number34D2332945
Laboratory TypeIn Home Patient Care Coor
Certificate Effective DateOctober 28, 2025
Certificate Expiration DateOctober 27, 2027
Laboratory DirectorShaminder Gupta
Laboratory Phone(480) 204-9932
Laboratory LocationMonogram Health, Inc615 St George Square Court, St 300, Winston-Salem, NC 27103
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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.

SANTACHIA RENEE MARTIN
Contractor
615 SAINT GEORGE SQUARE CT STE 300
WINSTON SALEM, NC 27103
Forsyth County (336) 655-0560
AERIAL WELLNESS PC
Counselor (Professional)
615 SAINT GEORGE SQUARE CT STE 300
WINSTON-SALEM, NC 27103
Forsyth County (336) 441-7392
BERTILLE KUISSO PONKAM
Health Educator
615 SAINT GEORGE SQUARE CT STE 300
WINSTON SALEM, NC 27103
Forsyth County (203) 683-5946
GUIDING HEARTS ABA LLC
Behavior Analyst
615 SAINT GEORGE SQUARE CT STE 300
WINSTON SALEM, NC 27103
Forsyth County (917) 817-6611
DR. ALISHA BETH BENNER M.D.
Internal Medicine
615 SAINT GEORGE SQUARE CT STE 300
WINSTON SALEM, NC 27103
Forsyth County (336) 793-8125
HINES FAMILY SERVICES INC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
615 SAINT GEORGE SQUARE CT STE 300
WINSTON SALEM, NC 27103
Forsyth County (336) 303-1263
JESSICA WALDMAN BCBA
Behavior Analyst
615 SAINT GEORGE SQUARE CT STE 300
WINSTON SALEM, NC 27103
Forsyth County (336) 360-3798
BRIGHTBRIDGE ABA NORTH CAROLINA LLC
Behavior Analyst
615 SAINT GEORGE SQUARE CT STE 300
WINSTON SALEM, NC 27103
Forsyth County (347) 268-4827

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 Monogram Health Professional Services Of North Carolina PC's NPI number?

The NPI number for Monogram Health Professional Services Of North Carolina PC is 1366162885. It was assigned to this organization in the NPPES registry on September 2, 2022.

Where is Monogram Health Professional Services Of North Carolina PC located?

Monogram Health Professional Services Of North Carolina PC is located at 615 Saint George Square Ct Ste 300, Winston Salem, NC 27103. The listed phone number is (615) 673-4455.

What is Monogram Health Professional Services Of North Carolina PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does Monogram Health Professional Services Of North Carolina PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2332945) is associated with this NPI, valid through October 27, 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 Monogram Health Professional Services Of North Carolina PC was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.