MEDICARE: MS. LEVONNE MARIE MITCHELL-SAMON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	2022-03272	NC
2	207RI0200X	Infectious Disease Physician	ME82607	FL
3	207R00000X	Internal Medicine Physician	ME82607	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NNP493H224	OTHER	NC	MEDICARE

General Provider Information

NPI Number	:	1770542813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LEVONNE MARIE MITCHELL-SAMON M.D.

Provider Business Mailing Address
First Line	:	3049 THOMASVILLE ROAD
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27107-9671
Country	:	US
Telephone Number	:	743-229-3300
Fax Number	:	743-229-3324

Provider Business Practice Location Address
First Line	:	3049 THOMASVILLE ROAD
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27107-9671
Country	:	US
Telephone Number	:	743-229-3300
Fax Number	:	743-229-3324

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2006
Last Update Date	:	03/09/2026

Similar Medicare Providers

1982256608 — STACY ELAINE ZABEL
Practice Location Address:

5140 COBBLESTONE RD
WINSTON SALEM, NC
27106-9671

Practice Phone: 507-330-3568
Practice Fax:

1194103192 — GREEN FOREST R-II
Practice Location Address:

6111 HIGHWAY F
SALEM, MO
65560-9671

Practice Phone: 573-729-3902
Practice Fax: 573-729-4842

1306840251 — SPEECHCENTER, INC.
Practice Location Address:

185 CHARLOIS BLVD.
WINSTON-SALEM, NC
27107-1521

Practice Phone: 336-725-0222
Practice Fax: 336-725-0454

1932103470 — CARL DAVID SASSER OD
Practice Location Address:

11362 OLD US HIGHWAY 52
WINSTON SALEM, NC
27107-9841

Practice Phone: 336-764-2449
Practice Fax: 336-764-4156

1306846779 — RHONDA F. FERRELL LPC
Practice Location Address:

625 SHADOW LN
WINSTON SALEM, NC
27107-6835

Practice Phone: 336-817-6766
Practice Fax:

1063408193 — SALEM HOUSE OF WINSTON-SALEM, LLC
Practice Location Address:

2560 WILLARD RD
WINSTON-SALEM, NC
27107-5585

Practice Phone: 336-650-0699
Practice Fax: 336-650-0132

Directions to “ MS. LEVONNE MARIE MITCHELL-SAMON M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.