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CLUB HAVEN FAMILY PRACTICE
NPI 1942489695
Family Medicine in Winston Salem, NC

Active since October 30, 2007
2801 LYNDHURST AVE, WINSTON SALEM, NC 27103(336) 768-9575(336) 774-1737 Get Directions Write a Review

NPPES record last updated: April 10, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Club Haven Family Practice NPPES

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

CLUB HAVEN FAMILY PRACTICE (NPI 1942489695) is a healthcare organization registered as a family medicine in Winston Salem, North Carolina and active in the NPI registry since October 2007. The organization lists Lewis S Thorp, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1942489695
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER COMMUNITY PHYSICIANS
Location Address2801 LYNDHURST AVEWinston Salem, NC 27103-4109
Mailing Address2801 Lyndhurst AveWinston Salem, NC 27103-4109 · (336) 768-9575 · Fax (336) 774-1737
Phone(336) 768-9575
Fax(336) 774-1737
Organization SubpartYes
Authorized OfficialLewis S ThorpPresident/ceo · (336) 721-3900
Enumeration DateOctober 30, 2007
Last NPPES UpdateApril 10, 2008
✔ NPI 1942489695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2801 LYNDHURST AVE, Winston Salem, NC 27103
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Other Names 1

Doing Business AsClub Haven Family Practice

Other Identifiers 2

Medicaid5908389NC
Other2317728XNC · Medicare Group Number

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 2

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

CLUB HAVEN FAMILY PRACTICE
Specialist
2801 LYNDHURST AVE
WINSTON-SALEM, NC 27103
Forsyth County (336) 768-9575
CLUB HAVEN FAMILY PRACTICE PA
Family Medicine
2801 LYNDHURST AVE
WINSTON SALEM, NC 27103
Forsyth County (336) 768-9575

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 Wake Forest University Baptist Medical Center Community Physicians's NPI number?

The NPI number for Wake Forest University Baptist Medical Center Community Physicians is 1942489695. It was assigned to this organization in the NPPES registry on October 30, 2007. The provider is doing business as Club Haven Family Practice.

Where is Wake Forest University Baptist Medical Center Community Physicians located?

Wake Forest University Baptist Medical Center Community Physicians is located at 2801 Lyndhurst Ave, Winston Salem, NC 27103. The listed phone number is (336) 768-9575.

What is Wake Forest University Baptist Medical Center Community Physicians's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Wake Forest University Baptist Medical Center Community Physicians was last updated on April 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.