OLD VINEYARD PHYSICIAN GROUP
NPI 1780817452
Psychiatry & Neurology - Psychiatry in Winston Salem, NC

Q: What is Keystone Wsnc LLC's NPI number?

The NPI number for Keystone Wsnc LLC is 1780817452. It was assigned to this organization in the NPPES registry on August 28, 2009. The provider is doing business as Old Vineyard Physician Group.

Q: What is Keystone Wsnc LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Keystone Wsnc LLC was last updated on September 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since August 28, 2009

3637 OLD VINEYARD RD, WINSTON SALEM, NC 27104(336) 794-3550(336) 794-4339 Get Directions Write a Review

NPPES record last updated: September 4, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Old Vineyard Physician Group NPPES

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

OLD VINEYARD PHYSICIAN GROUP (NPI 1780817452) is a healthcare organization registered as a psychiatry in Winston Salem, North Carolina and active in the NPI registry since August 2009. The organization lists Steve Filton, Vice President, as its authorized official.

NPPES Registry Identity

NPI1780817452

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameKEYSTONE WSNC LLC

Location Address3637 OLD VINEYARD RDWinston Salem, NC 27104

Mailing Address3637 Old Vineyard RdWinston Salem, NC 27104-4842 · (336) 794-3550 · Fax (336) 794-4339

Phone(336) 794-3550

Fax(336) 794-4339

Organization SubpartNo

Authorized OfficialSteve FiltonVice President · (610) 768-3300

Enumeration DateAugust 28, 2009

Last NPPES UpdateSeptember 4, 2018

✔ NPI 1780817452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in NC · MHH0188

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

3637 OLD VINEYARD RD, Winston Salem, NC 27104

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Other Names 1

Doing Business AsOld Vineyard Physician Group

Other Identifiers 1

Medicaid5912567NC

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Old Vineyard Physician Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 7 clinicians reassign Medicare billing to Old Vineyard Physician Group, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Tayyba Buttar, MD

Psychiatry

NPI 1972737922

3736 OLD VINEYARD RD OLD VINEYARD BEHAVIORAL HEALTH SERVICES
Winston Salem, NC 27284

(336) 794-3556

✔ PECOS✔ Accepts Medicare0.1 mi

Gisela Knebl Kohl, M.D.

Psychiatry

NPI 1922217306

1255 CREEKSHIRE WAY STE 270
Winston Salem, NC 27103

(336) 701-3111

✔ PECOS✔ Accepts Medicare0.9 mi

Barry Williams, M.D.

Psychiatry

NPI 1366409914

3000 BETHESDA PL SUITE 801 AND 802
Winston-salem, NC 27103

(336) 659-9141

✔ PECOS✔ Accepts Medicare1.5 mi

Nadeem Akhtar, M.D.

Psychiatry

NPI 1912914300

725 HIGHLAND AVE
Winston Salem, NC 27101

(336) 607-8523

✔ PECOS✔ Accepts Medicare5.1 mi

Jagannath Subedi, M.D.

Psychiatry

NPI 1245521343

309 PINEYWOOD RD
Thomasville, NC 27360

(336) 474-8921

✔ PECOS✔ Accepts Medicare18 mi

Keshavpal Reddy, M.D.

Psychiatry

NPI 1942269766

603 DOLLEY MADISON RD STE 100
Greensboro, NC 27410

(336) 632-3505

✔ PECOS✔ Accepts Medicare24 mi

Halimena Creque, MD

Psychiatry

NPI 1487634507

3000 BETHESDA PLACE #801 FAMILY BEHAVIORAL HEALTH
Winston-salem, NC 27103

(336) 659-9141

✔ PECOS✔ Accepts Medicare

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

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 Keystone Wsnc LLC's NPI number?

The NPI number for Keystone Wsnc LLC is 1780817452. It was assigned to this organization in the NPPES registry on August 28, 2009. The provider is doing business as Old Vineyard Physician Group.

Where is Keystone Wsnc LLC located?

Keystone Wsnc LLC is located at 3637 Old Vineyard Rd, Winston Salem, NC 27104. The listed phone number is (336) 794-3550.

What is Keystone Wsnc LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Keystone Wsnc LLC enrolled in Medicare?

Yes. Keystone Wsnc LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Keystone Wsnc LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Psychiatry, reassign their Medicare billing to Keystone Wsnc 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, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Keystone Wsnc LLC was last updated on September 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.