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MEDICAL OFFICE
NPI 1659943108
Anesthesiology - Addiction Medicine in Winston Salem, NC

Active since July 14, 2021CLIA 34D2235516 · Waiver
500 W 5TH ST STE 800, WINSTON SALEM, NC 27101(336) 247-1068 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2021, Jul 14, 2021 (2 updates tracked since 2021).

About Medical Office NPPES

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

MEDICAL OFFICE (NPI 1659943108) is a healthcare organization registered as an addiction medicine in Winston Salem, North Carolina and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through September 8, 2027 and lists Michael Royall, Owner, as its authorized official.

NPPES Registry Identity

NPI1659943108
Entity TypeOrganization
Primary Taxonomy207LA0401X
Legal Business NameRISE UP ADDICTION MEDICINE & PAIN MANAGEMENT PLLC
Location Address500 W 5TH ST STE 800Winston Salem, NC 27101-3131
Mailing Address500 W 5th St Ste 800Winston Salem, NC 27101-3131 · (336) 247-1068
Phone(336) 247-1068
Organization SubpartNo
Authorized OfficialMichael RoyallOwner · (336) 248-1068
Enumeration DateJuly 14, 2021
Last NPPES UpdateSeptember 8, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2021
✔ NPI 1659943108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LA0401X
Definition
An anesthesiologist who specializes in the diagnosis and treatment of addictions.
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X
500 W 5TH ST STE 800, Winston Salem, NC 27101
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Other Names 1

Doing Business AsMedical Office

Other Identifiers 1

Medicaid1356819320NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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 34D2235516

Rise Up, Addiction Medicine & Pain Management PLLC · Yadkinville, NC
Active · expires Sep 8, 2027
CLIA Number34D2235516
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 9, 2025
Certificate Expiration DateSeptember 8, 2027
Laboratory DirectorRuppert A. Hawes
Laboratory Phone(336) 247-1068
Laboratory LocationRise Up, Addiction Medicine & Pain Management PLLC204 W Cherry St, Yadkinville, NC 27055
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

MCCORKLE LABORATORY ENTERPRISE LLC
Clinic/Center
500 W 5TH ST STE 800
WINSTON SALEM, NC 27101
Forsyth County (336) 800-5227
WE CARE HOME HEALTH SERVICES
Home Health
500 W 5TH ST STE 800
WINSTON SALEM, NC 27101
Forsyth County (336) 232-8469
DERRICK DIONNE WILSON
Health Maintenance Organization
500 W 5TH ST STE 800
WINSTON SALEM, NC 27101
Forsyth County (800) 571-8308
LIBERTY MANAGEMENT
Nursing Care
500 W 5TH ST STE 800
WINSTON SALEM, NC 27101
Forsyth County (980) 666-8544
THREE PILLOW SYSTEM
Clinic/Center (Multi-Specialty)
500 W 5TH ST STE 800
WINSTON SALEM, NC 27101
Forsyth County (800) 571-8308

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 Rise Up Addiction Medicine & Pain Management PLLC's NPI number?

The NPI number for Rise Up Addiction Medicine & Pain Management PLLC is 1659943108. It was assigned to this organization in the NPPES registry on July 14, 2021. The provider is doing business as Medical Office.

Where is Rise Up Addiction Medicine & Pain Management PLLC located?

Rise Up Addiction Medicine & Pain Management PLLC is located at 500 W 5th St Ste 800, Winston Salem, NC 27101. The listed phone number is (336) 247-1068.

What is Rise Up Addiction Medicine & Pain Management PLLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Addiction Medicine, with taxonomy code 207LA0401X.

Does Rise Up Addiction Medicine & Pain Management PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2235516) is associated with this NPI, valid through September 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rise Up Addiction Medicine & Pain Management PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Rise Up Addiction Medicine & Pain Management PLLC 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.

When was this NPI record last updated?

The NPPES record for Rise Up Addiction Medicine & Pain Management PLLC was last updated on September 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.