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NOVANT HEALTH KERNERSVILLE OUTPATIENT SURGERY LLC
NPI 1750892659
Clinic/Center - Ambulatory Surgical in Kernersville, NC

Active since October 18, 2017CLIA 34D2145104 · Waiver
1730 KERNERSVILLE MEDICAL PKWY STE 304, KERNERSVILLE, NC 27284(336) 564-4938 Get Directions Write a Review

NPPES record last updated: January 2, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 2, 2020, Oct 18, 2017 (2 updates tracked since 2017).

About Novant Health Kernersville Outpatient Surgery Llc NPPES

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

NOVANT HEALTH KERNERSVILLE OUTPATIENT SURGERY LLC (NPI 1750892659) is a healthcare organization registered as an ambulatory surgical in Kernersville, North Carolina and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through February 29, 2028 and lists Jennifer Lynn O'brien, Administrator Asc, as its authorized official.

NPPES Registry Identity

NPI1750892659
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameNOVANT HEALTH KERNERSVILLE OUTPATIENT SURGERY LLC
Location Address1730 KERNERSVILLE MEDICAL PKWY STE 304Kernersville, NC 27284-7198
Mailing Address2085 Frontis Plaza BlvdWinston Salem, NC 27103-5614 · (336) 515-7000 · Fax (336) 515-7009
Phone(336) 564-4938
Organization SubpartNo
Authorized OfficialJennifer Lynn O'brienAdministrator Asc · (336) 564-4938
Enumeration DateOctober 18, 2017
Last NPPES UpdateJanuary 2, 20202 updates tracked since enumeration
✔ NPI 1750892659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1730 KERNERSVILLE MEDICAL PKWY STE 304, Kernersville, NC 27284
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.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)

Novant Health Kernersville Outpatient Surgery Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

543

Medicare enrollment records show 543 clinicians reassign Medicare billing to Novant Health Kernersville Outpatient Surgery LLC, which bills Medicare for the services they deliver. Of these, 15 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Nearest to this location (20)

See all 543
Vadim Korogoda
Certified Registered Nurse Anesthetist (CRNA)
NPI 1851778005
4534 FALLOWOOD TER
High Point, NC 27265
(336) 875-6530
✔ Accepts Medicare4.4 mi
Jennifer French, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1689273146
4818 HICKORY WOODS DR
Greensboro, NC 27410
(336) 848-9042
✔ Accepts Medicare8.6 mi
Lacey Chavarria, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1841485935
601 N ELM ST
High Point, NC 27262
(336) 878-6000
✔ Accepts Medicare9.1 mi
Amanda Chilton, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1184442634
601 N ELM ST
High Point, NC 27262
(336) 878-6000
✔ Accepts Medicare9.1 mi
Denise Desalvo, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1932168903
601 N ELM ST
High Point, NC 27262
(336) 878-6000
✔ Accepts Medicare9.1 mi
Brooke Greenwood
Certified Registered Nurse Anesthetist (CRNA)
NPI 1497213557
601 N ELM ST
High Point, NC 27262
(336) 878-6000
✔ Accepts Medicare9.1 mi
Reginald Smith, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1710468418
601 N ELM ST
High Point, NC 27262
(336) 878-6000
✔ Accepts Medicare9.1 mi
David Adeloye, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1114996824
401 FERNDALE BLVD
High Point, NC 27262
(336) 882-2567
✔ Accepts Medicare9.4 mi
Jennifer Ferguson
Certified Registered Nurse Anesthetist (CRNA)
NPI 1366608937
401 FERNDALE BLVD
High Point, NC 27262
(336) 882-2567
✔ Accepts Medicare9.4 mi
Matthew Gray
Certified Registered Nurse Anesthetist (CRNA)
NPI 1447505052
401 FERNDALE BLVD
High Point, NC 27262
(336) 882-2567
✔ Accepts Medicare9.4 mi
Joanna Huckabee, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1003861840
401 FERNDALE BLVD
High Point, NC 27262
(336) 882-2567
✔ Accepts Medicare9.4 mi
Stacy Hughes, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1073742912
401 FERNDALE BLVD
High Point, NC 27262
(336) 882-2567
✔ Accepts Medicare9.4 mi
Erin Johnson, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1427303254
401 FERNDALE BLVD
High Point, NC 27262
(336) 882-2567
✔ Accepts Medicare9.4 mi
Ffion Tucker, BSN, RN
Certified Registered Nurse Anesthetist (CRNA)
NPI 1790170421
401 FERNDALE BLVD
High Point, NC 27262
(305) 631-6001
9.4 mi
Stacy Yancey, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1528514528
401 FERNDALE BLVD
High Point, NC 27262
(336) 882-2567
✔ Accepts Medicare9.4 mi
Mary Coleen Gelmann, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1003009952
21A OAK BRANCH DR
Greensboro, NC 27407
(336) 478-2664
✔ Accepts Medicare10 mi
Diane Dellaero, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1710667753
525 VINE ST STE 230
Winston Salem, NC 27101
(336) 716-1411
11 mi
Ryan Reiher, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1932974086
525 VINE ST
Winston Salem, NC 27101
(336) 716-1411
✔ Accepts Medicare11 mi
Bing Yang, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1952184939
525 VINE ST
Winston Salem, NC 27101
(336) 716-1411
✔ Accepts Medicare11 mi
Julia Strawn, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1669255642
525 VINE ST STE 230
Winston Salem, NC 27101
(336) 716-1411
✔ Accepts Medicare11 mi
See all 543 clinicians

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 Waiver 34D2145104

Novant Health Kernersville Outpatient Surgery Center · Kernersville, NC
Active · expires Feb 29, 2028
CLIA Number34D2145104
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 1, 2026
Certificate Expiration DateFebruary 29, 2028
Laboratory DirectorThomas E. Gendrachi
Laboratory Phone(336) 515-7000
Laboratory LocationNovant Health Kernersville Outpatient Surgery Center1730 Kernersville Medical Parkway, Suite 304, Kernersville, NC 27284
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
208 services120 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
40 services23 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
39 services27 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
25 services12 patients
Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint 64633
This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.
19 services11 patients

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 Novant Health Kernersville Outpatient Surgery LLC's NPI number?

The NPI number for Novant Health Kernersville Outpatient Surgery LLC is 1750892659. It was assigned to this organization in the NPPES registry on October 18, 2017.

Where is Novant Health Kernersville Outpatient Surgery LLC located?

Novant Health Kernersville Outpatient Surgery LLC is located at 1730 Kernersville Medical Pkwy Ste 304, Kernersville, NC 27284. The listed phone number is (336) 564-4938.

What is Novant Health Kernersville Outpatient Surgery LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Novant Health Kernersville Outpatient Surgery LLC enrolled in Medicare?

Yes. Novant Health Kernersville Outpatient Surgery LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Novant Health Kernersville Outpatient Surgery LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 543 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Novant Health Kernersville Outpatient Surgery LLC. 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. Of these, 15 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Novant Health Kernersville Outpatient Surgery LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2145104) is associated with this NPI, valid through February 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Novant Health Kernersville Outpatient Surgery LLC accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Novant Health Kernersville Outpatient Surgery 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 Novant Health Kernersville Outpatient Surgery LLC was last updated on January 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.