PEYTON RAY HEADDEN
NPI 1770322737
Physician Assistant in Winston Salem, NC

Q: What is Peyton Headden's NPI number?

The NPI number for Peyton Headden is 1770322737. It was assigned to this individual provider in the NPPES registry on May 20, 2024.

Q: What is Peyton Headden's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Peyton Headden was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since May 20, 2024PECOS Enrolled

12208 N NC HIGHWAY 150, WINSTON SALEM, NC 27127(336) 764-2324(336) 764-9541 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2026, Aug 19, 2024, Aug 6, 2024 (3 updates tracked since 2024).

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About Peyton Ray Headden NPPES

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

PEYTON RAY HEADDEN (NPI 1770322737) is an individual physician assistant in Winston Salem, North Carolina, licensed in North Carolina (0010-14365) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1770322737

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NamePEYTON RAY HEADDEN

Location Address12208 N NC HIGHWAY 150Winston Salem, NC 27127-9730

Mailing AddressPo Box 751803Charlotte, NC 28275-1803 · (336) 764-2324 · Fax (336) 764-9541

Phone(336) 764-2324

Fax(336) 764-9541

Sole ProprietorNo

Enumeration DateMay 20, 2024

Last NPPES UpdateJuly 8, 20263 updates tracked since enumeration

NPPES CertifiedJuly 8, 2026

✔ NPI 1770322737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NC · 0010-14365

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

12208 N NC HIGHWAY 150, Winston Salem, NC 27127

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Secondary Practice Locations 2

Location 13445 Royalton StWinston Salem, NC 27104-3934 · Phone (803) 207-5566

Location 22265 Lewisville Clemmons RdClemmons, NC 27012-7462 · Phone (336) 716-8575 · Fax (336) 702-9265

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peyton Ray Headden 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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

12 services12 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27127 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

DR. DEEPA RETNEM POTTI M.D.

Family Medicine