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HIGHLAND AVENUE PRIMARY CARE CLINIC
NPI 1730670951
Family Medicine in Winston Salem, NC

Active since May 23, 2018CLIA 34D2155411 · Waiver
650 HIGHLAND AVE STE 120, WINSTON SALEM, NC 27101(336) 718-4770(336) 718-4779 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 12, 2023, Aug 16, 2021, Nov 12, 2018 and 1 more (4 updates tracked since 2018).

About Highland Avenue Primary Care Clinic NPPES

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

HIGHLAND AVENUE PRIMARY CARE CLINIC (NPI 1730670951) is a healthcare organization registered as a family medicine in Winston Salem, North Carolina and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through April 11, 2027 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1730670951
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFORSYTH COMMUNITY PCC LLC
Location Address650 HIGHLAND AVE STE 120Winston Salem, NC 27101-4304
Mailing AddressPo Box 603582Charlotte, NC 28260-3582
Phone(336) 718-4770
Fax(336) 718-4779
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateMay 23, 2018
Last NPPES UpdateJuly 12, 20234 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
✔ NPI 1730670951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
650 HIGHLAND AVE STE 120, Winston Salem, NC 27101
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Other Names 1

Doing Business AsHighland Avenue Primary Care Clinic

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

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 34D2155411

Highland Avenue Primary Care Clinic · Winston-Salem, NC
Active · expires Apr 11, 2027
CLIA Number34D2155411
Laboratory TypePhysician Office
Certificate Effective DateApril 12, 2025
Certificate Expiration DateApril 11, 2027
Laboratory DirectorBrett Thomas
Laboratory Phone(336) 718-4770
Laboratory LocationHighland Avenue Primary Care Clinic650 N Highland Avenue Suite 120, Winston-Salem, NC 27101
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 4

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

CARENET INC
Counselor (Professional)
650 HIGHLAND AVE STE 120
WINSTON SALEM, NC 27101
Forsyth County (336) 716-0855
BRETT ALEXANDER THOMAS MD
Family Medicine
650 HIGHLAND AVE STE 120
WINSTON SALEM, NC 27101
Forsyth County (336) 718-4770
LOURDES CU RAMOS NP-C
Nurse Practitioner
650 HIGHLAND AVE STE 120
WINSTON SALEM, NC 27101
Forsyth County (336) 718-4770
ADRIENNE LOUISE EMERY-RAMIREZ PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
650 HIGHLAND AVE STE 120
WINSTON SALEM, NC 27101
Forsyth County (336) 607-8523

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 Forsyth Community Pcc LLC's NPI number?

The NPI number for Forsyth Community Pcc LLC is 1730670951. It was assigned to this organization in the NPPES registry on May 23, 2018. The provider is doing business as Highland Avenue Primary Care Clinic.

Where is Forsyth Community Pcc LLC located?

Forsyth Community Pcc LLC is located at 650 Highland Ave Ste 120, Winston Salem, NC 27101. The listed phone number is (336) 718-4770.

What is Forsyth Community Pcc LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Forsyth Community Pcc LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2155411) is associated with this NPI, valid through April 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Forsyth Community Pcc LLC accept?

Health plans from Blue Cross and Blue Shield of NC list Forsyth Community Pcc LLC 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 Forsyth Community Pcc LLC was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.