CEDAR CREEK FAMILY MEDICINE PLLC
NPI 1952579807
Clinic/Center - Primary Care in Winston Salem, NC
About Cedar Creek Family Medicine Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CEDAR CREEK FAMILY MEDICINE PLLC (NPI 1952579807) is a healthcare organization registered as a primary care in Winston Salem, North Carolina and active in the NPI registry since February 2008. The organization holds a CLIA Microscopy certificate valid through November 12, 2026 and lists Kimberly R Nifong, Co Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cedar Creek Family Medicine Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Cedar Creek Family Medicine PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 for Provider-Performed Microscopy Procedures (PPMP) 34D0980111
Cedar Creek Family Medicine PLLC · Winston-Salem, NCFrequently 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 Cedar Creek Family Medicine PLLC's NPI number?
The NPI number for Cedar Creek Family Medicine PLLC is 1952579807. It was assigned to this organization in the NPPES registry on February 13, 2008.
Where is Cedar Creek Family Medicine PLLC located?
Cedar Creek Family Medicine PLLC is located at 11492 Old Us Highway 52, Winston Salem, NC 27107. The listed phone number is (336) 784-0505.
What is Cedar Creek Family Medicine PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Cedar Creek Family Medicine PLLC enrolled in Medicare?
Yes. Cedar Creek Family Medicine PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cedar Creek Family Medicine PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Family Practice, reassign their Medicare billing to Cedar Creek Family Medicine PLLC. 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Cedar Creek Family Medicine PLLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D0980111) is associated with this NPI, valid through November 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Cedar Creek Family Medicine PLLC accept?
Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Cedar Creek Family Medicine PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Cedar Creek Family Medicine PLLC was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Cedar Creek Family Medicine Pllc · NPI 1952579807
Primary Care organization in Winston Salem, North Carolina. Organization record, active in the CMS NPPES registry since February 13, 2008.
## Identity
- **NPI:** 1952579807 (Entity type: Organization)
- **Enumerated:** February 13, 2008
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Kimberly Nifong, CO OWNER
## Practice location
- **Address:** 11492 OLD US HIGHWAY 52, Winston Salem, NC 27107-9497
- **Phone:** (336) 784-0505 · **Fax:** (336) 784-0531
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 10, 2024
- **Other identifiers:** Other 014U9 (OH); Medicaid 89014U9 (NC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1952579807) · Data from the CMS NPPES public registry.