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SUSAN TAYLOR WOOLLEN MD
NPI 1992509616
Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Active since April 02, 2025PECOS Enrolled
1920 W 1ST ST BLDG 3, WINSTON SALEM, NC 27104(336) 716-9024 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan Taylor Woollen Md NPPES

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

SUSAN TAYLOR WOOLLEN MD (NPI 1992509616) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992509616
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSUSAN TAYLOR WOOLLENCredential: MD
Location Address1920 W 1ST ST BLDG 3Winston Salem, NC 27104-4220
Mailing AddressOne Medical Center Medical Center BlvdWinston Salem, NC 27157-0001
Phone(336) 716-9024
Sole ProprietorNo
Enumeration DateApril 2, 2025
Last NPPES UpdateMay 1, 2025
NPPES CertifiedApril 2, 2025
✔ NPI 1992509616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1920 W 1ST ST BLDG 3, Winston Salem, NC 27104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Taylor Woollen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Susan Woollen's NPI number?

The NPI number for Susan Woollen is 1992509616. It was assigned to this individual provider in the NPPES registry on April 2, 2025.

Where is Susan Woollen located?

Susan Woollen practices at 1920 W 1st St Bldg 3, Winston Salem, NC 27104. The listed phone number is (336) 716-9024.

What is Susan Woollen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Susan Woollen enrolled in Medicare?

Yes. Susan Woollen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Woollen was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.