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CULLEN DANE SMITH
NPI 1659131092
Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Active since March 21, 2024PECOS Enrolled
MEDICAL CENTER BLVD DEPARTMENT OF OBGYN, WINSTON SALEM, NC 27157(336) 716-4615(336) 716-6397 Get Directions Write a Review

NPPES record last updated: November 1, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cullen Dane Smith NPPES

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

CULLEN DANE SMITH (NPI 1659131092) 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

NPI1659131092
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCULLEN DANE SMITH
Location AddressMEDICAL CENTER BLVD DEPARTMENT OF OBGYNWinston Salem, NC 27157-0001
Mailing AddressOne Medical Center Blvd Winston Salem Nc 27157Winston Salem, NC 27157-0001 · (336) 716-4615 · Fax (336) 716-6397
Phone(336) 716-4615
Fax(336) 716-6397
Sole ProprietorYes
Enumeration DateMarch 21, 2024
Last NPPES UpdateNovember 1, 2024
NPPES CertifiedNovember 1, 2024
✔ NPI 1659131092 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.

MEDICAL CENTER BLVD DEPARTMENT OF OBGYN, 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)

Cullen Dane Smith 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 3

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

MADELINE CLAIRE BURT MD
Student in an Organized Health Care Education/Training Program
MEDICAL CENTER BLVD DEPARTMENT OF OBGYN
WINSTON SALEM, NC 27157
Forsyth County (336) 716-6397
REBECCA SIOBHAN-IVY COX MD
Student in an Organized Health Care Education/Training Program
MEDICAL CENTER BLVD DEPARTMENT OF OBGYN
WINSTON SALEM, NC 27157
Forsyth County (336) 716-4615
EVALINE XIE
Student in an Organized Health Care Education/Training Program
MEDICAL CENTER BLVD DEPARTMENT OF OBGYN
WINSTON SALEM, NC 27157
Forsyth County (336) 716-4615

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 Cullen Smith's NPI number?

The NPI number for Cullen Smith is 1659131092. It was assigned to this individual provider in the NPPES registry on March 21, 2024.

Where is Cullen Smith located?

Cullen Smith practices at Medical Center Blvd Department Of Obgyn, Winston Salem, NC 27157. The listed phone number is (336) 716-4615.

What is Cullen Smith's specialty?

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

Is Cullen Smith enrolled in Medicare?

Yes. Cullen Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cullen Smith was last updated on November 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.