Healthcare Provider Details

I. General information

NPI: 1356928691
Provider Name (Legal Business Name): ANNA DORSETT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2021
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MEDICAL CENTER BLVD. WAKE FOREST SCHOOL OF MEDICINE DEPT. OF PSYCHIATRY
WINSTON SALEM NC
27157
US

IV. Provider business mailing address

MEDICAL CENTER BLVD WAKE FOREST SCHOOL OF MEDICINE DEPT OF PSYCHIATRY
WINSTON SALEM NC
27157-0001
US

V. Phone/Fax

Practice location:
  • Phone: 336-716-4551
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number2025-02180
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: