CEDAR CREEK FAMILY MEDICINE PLLC
NPI 1952579807
Clinic/Center - Primary Care in Winston Salem, NC

Q: 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.

Q: 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.

Active since February 13, 2008CLIA 34D0980111 · Microscopy

11492 OLD US HIGHWAY 52, WINSTON SALEM, NC 27107(336) 784-0505(336) 784-0531 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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

NPI1952579807

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameCEDAR CREEK FAMILY MEDICINE PLLC

Location Address11492 OLD US HIGHWAY 52Winston Salem, NC 27107-9497

Mailing Address5350 S Main StWinston Salem, NC 27107-9174 · (336) 784-0505

Phone(336) 784-0505

Fax(336) 784-0531

Organization SubpartNo

Authorized OfficialKimberly R NifongCo Owner · (336) 784-0505

Enumeration DateFebruary 13, 2008

Last NPPES UpdateSeptember 10, 2024

NPPES CertifiedSeptember 10, 2024

✔ NPI 1952579807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

License✔ Licensed in NC · 88463

11492 OLD US HIGHWAY 52, Winston Salem, NC 27107

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Other Identifiers 2

Other014U9OH · Blue Cross Blue Shield

Medicaid89014U9NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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, NC

Active · expires Nov 12, 2026

CLIA Number34D0980111

Laboratory TypePhysician Office

Certificate Effective DateNovember 13, 2024

Certificate Expiration DateNovember 12, 2026

Laboratory DirectorTed J. Nifong

Laboratory Phone(336) 784-0505

Laboratory LocationCedar Creek Family Medicine PLLC11492 Old Us Hwy 52, Winston-Salem, NC 27107

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

KATHERINE HENRIQUES PA-C

Physician Assistant

11492 OLD US HIGHWAY 52
WINSTON SALEM, NC 27107

Forsyth County (336) 784-0505

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 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.

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 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 23 months 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.