ARDMORE FAMILY PRACTICE P.A.
NPI 1750342820
Family Medicine in Winston Salem, NC

Active since March 29, 2006CLIA 34D0960750 · Certificate of Compliance
2805 LYNDHURST AVE, WINSTON SALEM, NC 27103(336) 659-0076(336) 659-0272 Get Directions Write a Review

NPPES record last updated: August 20, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ardmore Family Practice P.a. NPPES

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

ARDMORE FAMILY PRACTICE P.A. (NPI 1750342820) is a healthcare organization registered as a family medicine in Winston Salem, North Carolina and active in the NPI registry since March 2006. The organization holds a CLIA Certificate of Compliance certificate valid through August 19, 2027 and lists Debra H. Alford, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1750342820
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameARDMORE FAMILY PRACTICE P.A.
Location Address2805 LYNDHURST AVEWinston Salem, NC 27103-4109
Mailing Address2805 Lyndhurst AveWinston Salem, NC 27103-4109 · (336) 659-0076 · Fax (336) 659-0272
Fax(336) 659-0272
Organization SubpartNo
Authorized OfficialDebra H. AlfordPractice Manager · (336) 659-0076
Enumeration DateMarch 29, 2006
Last NPPES UpdateAugust 20, 2009
✔ NPI 1750342820 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.
2805 LYNDHURST AVE, Winston Salem, NC 27103

Other Identifiers 2

Medicaid7902204NY
Medicare ID-Type Unspecified2343871NC · Group Number

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 SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ardmore Family Practice P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Ardmore Family Practice P.A., which bills Medicare for the services they deliver. Of these, 8 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Nurse Practitioner
NPI 1245299262
2805 LYNDHURST AVE
Winston Salem, NC 27103
(336) 659-0076
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1396402806
2805 LYNDHURST AVE
Winston Salem, NC 27103
(336) 659-0076
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1699594903
2805 LYNDHURST AVE
Winston Salem, NC 27103
(336) 659-0076
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1760477335
2805 LYNDHURST AVE
Winston-salem, NC 27103
(336) 659-0076
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1588849350
2805 LYNDHURST AVE
Winston Salem, NC 27103
(336) 659-0076
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1952634396
2805 LYNDHURST AVE
Winston Salem, NC 27103
(336) 659-0076
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1720073711
2805 LYNDHURST AVE
Winston-salem, NC 27103
(336) 659-0076
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1558713370
2805 LYNDHURST AVE
Winston Salem, NC 27103
(336) 659-0076
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1013514454
6915 VILLAGE MEDICAL CIR
Clemmons, NC 27012
(336) 718-1680
✔ PECOS✔ Accepts Medicare7.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Compliance 34D0960750

Ardmore Family Practice, PA · Winston-Salem, NC
Active · expires Aug 19, 2027
CLIA Number34D0960750
Laboratory TypePhysician Office
Certificate Effective DateAugust 20, 2025
Certificate Expiration DateAugust 19, 2027
Laboratory DirectorAmy C. Sapp
Laboratory Phone(336) 659-0076
Laboratory LocationArdmore Family Practice, PA2805 Lyndhurst Ave, Winston-Salem, NC 27103
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Ardmore Family Practice P.A.'s NPI number?

The NPI number for Ardmore Family Practice P.A. is 1750342820. It was assigned to this organization in the NPPES registry on March 29, 2006.

Where is Ardmore Family Practice P.A. located?

Ardmore Family Practice P.A. is located at 2805 Lyndhurst Ave, Winston Salem, NC 27103. The listed phone number is (336) 659-0076.

What is Ardmore Family Practice P.A.'s specialty?

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

Is Ardmore Family Practice P.A. enrolled in Medicare?

Yes. Ardmore Family Practice P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ardmore Family Practice P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Ardmore Family Practice P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (6) and Family Practice (3). Of these, 8 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ardmore Family Practice P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 34D0960750) is associated with this NPI, valid through August 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ardmore Family Practice P.A. accept?

Health plans from AmeriHealth Caritas Next list Ardmore Family Practice P.A. 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 Ardmore Family Practice P.A. was last updated on August 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.