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 7 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: August 09, 2026.

On this page

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

Open in Google Maps ↗

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

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. LISA MARIA WAYE DNP PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)