Healthcare Provider Details

I. General information

NPI: 1598717001
Provider Name (Legal Business Name): NOVANT HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 SILAS CREEK PKWY
WINSTON-SALEM NC
27103-3013
US

IV. Provider business mailing address

4236 SHERLIE WEAVIL RD
WINSTON-SALEM NC
27107-6506
US

V. Phone/Fax

Practice location:
  • Phone: 336-718-5777
  • Fax: 336-718-9272
Mailing address:
  • Phone: 336-769-3745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number1596
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number1596
License Number StateNC

VIII. Authorized Official

Name: DR. MARTHA A VINSON
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PH.D.
Phone: 336-718-5775