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CLEWELL YOUNGER FOGLEMAN MD
NPI 1578313409
Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Active since March 25, 2024PECOS Enrolled
1920 W 1ST ST FL 3, WINSTON SALEM, NC 27104(336) 716-4479 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clewell Younger Fogleman Md NPPES

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

CLEWELL YOUNGER FOGLEMAN MD (NPI 1578313409) 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 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578313409
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCLEWELL YOUNGER FOGLEMANCredential: MD
Location Address1920 W 1ST ST FL 3Winston Salem, NC 27104-4220
Mailing Address6013 Forest Trails DrWinston Salem, NC 27107-3692 · (336) 970-7171
Phone(336) 716-4479
Sole ProprietorNo
Enumeration DateMarch 25, 2024
NPPES CertifiedMarch 24, 2024
✔ NPI 1578313409 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.
1920 W 1ST ST FL 3, Winston Salem, NC 27104
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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)

Clewell Younger Fogleman 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.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RYAN PHILLIP MACDONALD
Student in an Organized Health Care Education/Training Program
1920 W 1ST ST FL 3
WINSTON SALEM, NC 27104
Forsyth County (336) 716-4479
WILLIAM WALKER ABERGER MD
Student in an Organized Health Care Education/Training Program
1920 W 1ST ST FL 3
WINSTON SALEM, NC 27104
Forsyth County (336) 716-4479
RILEY JAMES COON
Student in an Organized Health Care Education/Training Program
1920 W 1ST ST FL 3
WINSTON SALEM, NC 27104
Forsyth County (336) 716-4479
SUKHDEV SINGH BRAR DO
Student in an Organized Health Care Education/Training Program
1920 W 1ST ST FL 3
WINSTON SALEM, NC 27104
Forsyth County (336) 716-4479
DALTON GARRETT SHAW MD
Student in an Organized Health Care Education/Training Program
1920 W 1ST ST FL 3
WINSTON SALEM, NC 27104
Forsyth County (336) 716-4479
CAROLINE MEGAN THOMAS
Student in an Organized Health Care Education/Training Program
1920 W 1ST ST FL 3
WINSTON SALEM, NC 27104
Forsyth County (336) 716-4479
CHRISTOPHER MICHAEL NELSON M.D.
Family Medicine (Sports Medicine)
1920 W 1ST ST FL 3
WINSTON SALEM, NC 27104
Forsyth County (336) 716-4479
JENNIFER KELLER FNP
Nurse Practitioner (Family)
1920 W 1ST ST FL 3
WINSTON SALEM, NC 27104
Forsyth County (336) 716-4479

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 Clewell Fogleman's NPI number?

The NPI number for Clewell Fogleman is 1578313409. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Where is Clewell Fogleman located?

Clewell Fogleman practices at 1920 W 1st St Fl 3, Winston Salem, NC 27104. The listed phone number is (336) 716-4479.

What is Clewell Fogleman's specialty?

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

Is Clewell Fogleman enrolled in Medicare?

Yes. Clewell Fogleman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Clewell Fogleman was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.