Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

North Carolina Sports Medicine Institute PLLC

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1790849396

North Carolina Sports Medicine Institute PLLC provides Sports Medicine (Orthopaedic Surgery) Physician services in Winston Salem, North Carolina. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

185 Kimel Park Dr Ste 201
Winston Salem, NC 27103-6973
Phone: (336) 760-9411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X

Record details

NPI number1790849396
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Allston Stubbs — Member · (336) 760-9411
NPI enumeratedDecember 20, 2006
Last updated in NPPESAugust 22, 2020
Mailing address185 Kimel Park Dr, Suite 201, Winston Salem, NC 27103-6973

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