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SALEM CHEST SPECIALISTS
NPI 1801878632
Internal Medicine - Critical Care Medicine in Winston-salem, NC

Active since November 17, 2005CLIA 34D0237600 · Waiver
3001 LYNDHURST AVE, WINSTON-SALEM, NC 27103(336) 765-0383(336) 760-6918 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 11, 2023, Mar 9, 2023, Feb 15, 2023 and 2 more (5 updates tracked since 2021).

About Salem Chest Specialists NPPES

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

SALEM CHEST SPECIALISTS (NPI 1801878632) is a healthcare organization registered as a critical care medicine in Winston-salem, North Carolina and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through March 15, 2028 and lists Tammy Ferrell, Administrator, as its authorized official.

NPPES Registry Identity

NPI1801878632
Entity TypeOrganization
Primary Taxonomy207RC0200X
Legal Business NameSPECTRUM MEDICAL GROUP PA
Location Address3001 LYNDHURST AVEWinston-salem, NC 27103-4007
Mailing Address3001 Lyndhurst AveWinston-salem, NC 27103-4007 · (336) 765-0383 · Fax (336) 760-6918
Phone(336) 765-0383
Fax(336) 760-6918
Organization SubpartNo
Authorized OfficialTammy FerrellAdministrator · (336) 765-0383
Enumeration DateNovember 17, 2005
Last NPPES UpdateApril 11, 20235 updates tracked since enumeration
NPPES CertifiedApril 11, 2023
✔ NPI 1801878632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X
3001 LYNDHURST AVE, Winston-salem, NC 27103
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Other Names 1

Doing Business AsSalem Chest Specialists

Other Identifiers 2

Other02258NC · Bcbs
Medicaid8902258NC

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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

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 34D0237600

Spectrum Medical Group, PA · Winston-Salem, NC
Active · expires Mar 15, 2028
CLIA Number34D0237600
Laboratory TypePhysician Office
Certificate Effective DateMarch 16, 2026
Certificate Expiration DateMarch 15, 2028
Laboratory DirectorThomas Hinson
Laboratory Phone(910) 765-0383
Laboratory LocationSpectrum Medical Group, PA3001 Lyndhurst Avenue, Winston-Salem, NC 27103
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

SETH RYAN ANDERSON PA-C
Physician Assistant
3001 LYNDHURST AVE
WINSTON SALEM, NC 27103
Forsyth County (336) 765-0383
DR. DAVID DEFEO M.D.
Internal Medicine (Critical Care Medicine)
3001 LYNDHURST AVE
WINSTON SALEM, NC 27103
Forsyth County (336) 765-0383
ROBERT CHIN JR. MD
Internal Medicine (Pulmonary Disease)
3001 LYNDHURST AVE
WINSTON SALEM, NC 27103
Forsyth County (336) 765-0383
DR. JODY PARKS LEWIS M.D.
Internal Medicine (Critical Care Medicine)
3001 LYNDHURST AVE
WINSTON SALEM, NC 27103
Forsyth County (336) 765-0383
ALESSANDRA HARDIGAN BROWN FNP
Nurse Practitioner
3001 LYNDHURST AVE
WINSTON SALEM, NC 27103
Forsyth County (336) 765-0383
TIA M. EXLINE NP
Nurse Practitioner
3001 LYNDHURST AVE
WINSTON SALEM, NC 27103
Forsyth County (336) 765-0383
LAUREN RAY BEAVER
Nurse Practitioner (Family)
3001 LYNDHURST AVE
WINSTON SALEM, NC 27103
Forsyth County (336) 765-0383
LUKE ALEXANDER PEARSALL PA
Physician Assistant (Medical)
3001 LYNDHURST AVE
WINSTON-SALEM, NC 27103
Forsyth County (336) 765-0383

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 Spectrum Medical Group PA's NPI number?

The NPI number for Spectrum Medical Group PA is 1801878632. It was assigned to this organization in the NPPES registry on November 17, 2005. The provider is doing business as Salem Chest Specialists.

Where is Spectrum Medical Group PA located?

Spectrum Medical Group PA is located at 3001 Lyndhurst Ave, Winston-Salem, NC 27103. The listed phone number is (336) 765-0383.

What is Spectrum Medical Group PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Does Spectrum Medical Group PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0237600) is associated with this NPI, valid through March 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Spectrum Medical Group PA was last updated on April 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.