| Gastroenterology Associates Of The Piedmont, P.a. | |
| 
					875 Bethesda Rd Winston Salem NC 27103  | |
| (336) 448-2427 | |
| (336) 765-2869 | 
| Full Name | Gastroenterology Associates Of The Piedmont, P.a. | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 875 Bethesda Rd, Winston Salem, North Carolina | 
| Authorized Official Name and Position | Anne C Hill (CEO) | 
| Authorized Official Contact | 3367143533 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Gastroenterology Associates Of The Piedmont, P.a. 1830 S Hawthorne Rd Winston Salem NC 27103-4047 Ph: (336) 448-2427  | Gastroenterology Associates Of The Piedmont, P.a. 875 Bethesda Rd Winston Salem NC 27103 Ph: (336) 448-2427  | 
| NPI Number | 1679687586 | 
|---|---|
| Provider Enumeration Date | 08/18/2006 | 
| Last Update Date | 05/13/2020 | 
| Medicare PECOS PAC ID | 4587568860 | 
|---|---|
| Medicare Enrollment ID | O20040706001386 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1679687586 | NPI | - | NPPES | 
| 7282490 | Other | AETNA GROUP # | |
| 89-02591 | Medicaid | NC | |
| 02591 | Other | BLUE CROSS BLUE SHIELD NC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Secondary | 
| 261QE0800X | Clinic/center - Endoscopy | (North Carolina) | Primary | 
| Provider Name | John T Sweeney | 
|---|---|
| Provider Type | Practitioner - Gastroenterology | 
| Provider Identifiers | NPI Number: 1427162320 PECOS PAC ID: 2365481017 Enrollment ID: I20050502000836  | 
| Provider Name | Christopher D Connolley | 
|---|---|
| Provider Type | Practitioner - Gastroenterology | 
| Provider Identifiers | NPI Number: 1396702767 PECOS PAC ID: 3375521776 Enrollment ID: I20050727000998  | 
| Provider Name | Paul M Gregory | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1609097666 PECOS PAC ID: 6901985134 Enrollment ID: I20080429000918  | 
| Provider Name | Brian S Smith | 
|---|---|
| Provider Type | Practitioner - Gastroenterology | 
| Provider Identifiers | NPI Number: 1093862898 PECOS PAC ID: 4880764539 Enrollment ID: I20080606000505  | 
| Provider Name | Ryan L Mckimmie | 
|---|---|
| Provider Type | Practitioner - Gastroenterology | 
| Provider Identifiers | NPI Number: 1144416934 PECOS PAC ID: 1456404391 Enrollment ID: I20090724000589  | 
| Provider Name | Henry T Mixon | 
|---|---|
| Provider Type | Practitioner - Gastroenterology | 
| Provider Identifiers | NPI Number: 1801900709 PECOS PAC ID: 4880598077 Enrollment ID: I20100922000954  | 
| Provider Name | Robert John Holmes | 
|---|---|
| Provider Type | Practitioner - Gastroenterology | 
| Provider Identifiers | NPI Number: 1306803234 PECOS PAC ID: 1850463001 Enrollment ID: I20110209000598  | 
| Provider Name | Daniel Murphy | 
|---|---|
| Provider Type | Practitioner - Gastroenterology | 
| Provider Identifiers | NPI Number: 1568429405 PECOS PAC ID: 5395890230 Enrollment ID: I20110209000639  | 
| Provider Name | Chad R Rund | 
|---|---|
| Provider Type | Practitioner - Pathology | 
| Provider Identifiers | NPI Number: 1043482508 PECOS PAC ID: 9032288998 Enrollment ID: I20110520000115  | 
| Provider Name | David Werth Barry | 
|---|---|
| Provider Type | Practitioner - Gastroenterology | 
| Provider Identifiers | NPI Number: 1427222819 PECOS PAC ID: 0143446922 Enrollment ID: I20140731001059  | 
| Provider Name | Blake K Scott | 
|---|---|
| Provider Type | Practitioner - Gastroenterology | 
| Provider Identifiers | NPI Number: 1962645929 PECOS PAC ID: 2769795715 Enrollment ID: I20150720001866  | 
| Provider Name | Brent Thomas Cengia | 
|---|---|
| Provider Type | Practitioner - Gastroenterology | 
| Provider Identifiers | NPI Number: 1962769612 PECOS PAC ID: 7719291608 Enrollment ID: I20150805009603  | 
| Provider Name | Jason D Jones | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1013355528 PECOS PAC ID: 2668765272 Enrollment ID: I20160720000188  | 
| Provider Name | Laura G Patwa | 
|---|---|
| Provider Type | Practitioner - Gastroenterology | 
| Provider Identifiers | NPI Number: 1386936342 PECOS PAC ID: 1355578592 Enrollment ID: I20171114001624  | 
| Provider Name | Jared John Rejeski | 
|---|---|
| Provider Type | Practitioner - Gastroenterology | 
| Provider Identifiers | NPI Number: 1760829428 PECOS PAC ID: 3870807514 Enrollment ID: I20190619002175  | 
| Provider Name | Scott L Cornella | 
|---|---|
| Provider Type | Practitioner - Gastroenterology | 
| Provider Identifiers | NPI Number: 1912263427 PECOS PAC ID: 7214165133 Enrollment ID: I20190828003838  | 
| Provider Name | Mark P Legolvan | 
|---|---|
| Provider Type | Practitioner - Pathology | 
| Provider Identifiers | NPI Number: 1619194560 PECOS PAC ID: 3274683313 Enrollment ID: I20191214000206  | 
| Provider Name | Kari K Mcchesney | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1760008932 PECOS PAC ID: 9032534789 Enrollment ID: I20200729001056  | 
| Provider Name | Ashley Nicole Schmidt | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1699440222 PECOS PAC ID: 4981093556 Enrollment ID: I20211119002517  | 
| Provider Name | Vanessa R Church | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1235894056 PECOS PAC ID: 6002205523 Enrollment ID: I20211122001872  | 
| Provider Name | Oluwaseun Damilola Shogbesan | 
|---|---|
| Provider Type | Practitioner - Gastroenterology | 
| Provider Identifiers | NPI Number: 1023420718 PECOS PAC ID: 9830480839 Enrollment ID: I20230706000115  | 
| Provider Name | Patrick Campbell | 
|---|---|
| Provider Type | Practitioner - Gastroenterology | 
| Provider Identifiers | NPI Number: 1982135091 PECOS PAC ID: 5294082293 Enrollment ID: I20230808001949  | 
| Provider Name | Carles Raylon Surles | 
|---|---|
| Provider Type | Practitioner - Gastroenterology | 
| Provider Identifiers | NPI Number: 1851374300 PECOS PAC ID: 7719987163 Enrollment ID: I20240904002030  | 
Mccorkle Laboratory Enterprise Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 W 5th St Ste 800, Winston Salem, NC 27101 Phone: 336-800-5227  | |
North Carolina General Management Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3051 Waughtown St, Winston Salem, NC 27107 Phone: 336-726-5090  | |
Wake Forest University Health Sciences Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255  | |
Wake Forest Health Network Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1665 Westbrook Plaza Dr, Winston Salem, NC 27103 Phone: 336-760-8380 Fax: 336-760-8388  | |
Preventative Wellness Solutions I Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3878 Oxford Station Way, Winston Salem, NC 27103 Phone: 336-517-0072  | |
Forsyth Memorial Hospital Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Jonestown Rd, Winston Salem, NC 27104 Phone: 336-769-9515 Fax: 336-768-9082  | |
One Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3274 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-604-2822  |