| NPI | 1063599587 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-11-01 |
| Last Updated | 2015-02-01 |
| Mailing Address | 5350 S Main St Winston Salem, NC 27107-9174 United States Phone: (336) 784-0505 | Fax: (336) 784-5031 📍 View Map |
| Primary Practice Address | 5350 S Main St Winston Salem, NC 27107-9174 United States Phone: (336) 784-0505 | Fax: (336) 784-5031 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | NC | 1063599587 | NPI |
| MEDICAID | NC | 8962677 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207Q00000X – Family Medicine | NC | 32817 |
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About NPI 1063599587
Ted James Nifong MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1063599587. The primary specialty listed is Family Medicine. The provider is located in Winston Salem, NC. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-11-01. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1063599587?
NPI 1063599587 belongs to Ted James Nifong MD, a Family Medicine in Winston Salem, NC. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1063599587 active?
The current status of NPI 1063599587 in the NPPES registry is Active. The record was last updated on 2015-02-01.
What specialty is NPI 1063599587?
NPI 1063599587 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1063599587?
You can verify NPI 1063599587 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1063599587?
The primary practice address on file for NPI 1063599587 is 5350 S Main St, Winston Salem, NC 27107-9174. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1063599587 issued?
NPI 1063599587 was first issued (enumerated) on 2006-11-01. The NPPES record was last updated on 2015-02-01.
Practice Location Map
Ted James Nifong is located at 5350 S Main St, Winston Salem, NC. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Ted James Nifong. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1063599587. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | 32817 | NC |