NOVANT HEALTH CLEMMONS OUTPATIENT SURGERY, LLC
NPI 1427697978
Nurse Anesthetist, Certified Registered in Clemmons, NC

Q: What is Novant Health Clemmons Outpatient Surgery, LLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since January 02, 2020CLIA 34D2168548 · Waiver

7210 VILLAGE MEDICAL CIRCEL, STE 235, CLEMMONS, NC 27012(336) 893-3100(336) 893-3109 Get Directions Write a Review

NPPES record last updated: January 2, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Novant Health Clemmons Outpatient Surgery, Llc NPPES

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

NOVANT HEALTH CLEMMONS OUTPATIENT SURGERY, LLC (NPI 1427697978) is a healthcare organization registered as a nurse anesthetist, certified registered in Clemmons, North Carolina and active in the NPI registry since January 2020. The organization holds a CLIA Waiver certificate valid through July 1, 2027 and lists Gerald Osborne Green, Administrator Asc, as its authorized official.

NPPES Registry Identity

NPI1427697978

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameNOVANT HEALTH CLEMMONS OUTPATIENT SURGERY, LLC

Location Address7210 VILLAGE MEDICAL CIRCEL, STE 235Clemmons, NC 27012

Mailing Address101 N Cherry St, Ste 600Winston Salem, NC 27101-4013 · (336) 277-1604 · Fax (336) 277-9584

Phone(336) 893-3100

Fax(336) 893-3109

Organization SubpartNo

Authorized OfficialGerald Osborne GreenAdministrator Asc · (336) 277-1782

Enumeration DateJanuary 2, 2020

✔ NPI 1427697978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

7210 VILLAGE MEDICAL CIRCEL, Clemmons, NC 27012

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Other Names 1

Other NameCrna Pro Fees

Other Identifiers 1

Other126701NC · Aaahc

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Novant Health Clemmons Outpatient Surgery, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

543

Medicare enrollment records show 543 clinicians reassign Medicare billing to Novant Health Clemmons Outpatient Surgery, LLC, which bills Medicare for the services they deliver. Of these, 117 practice within 10 miles. Listed here are the 20 practicing nearest to this location.