OLD VINEYARD PHYSICIAN GROUP – NPI #1780817452
Psychiatry & Neurology

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Health Care Provider Taxonomy Code for Psychiatry & Neurology

OLD VINEYARD PHYSICIAN GROUP is a psychiatry & neurologist located in WINSTON-SALEM, NC. NPPES has assigned the NPI number 1780817452 to OLD VINEYARD PHYSICIAN GROUP on August 28, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “OLD VINEYARD PHYSICIAN GROUP” is a dba name, the actual legal business name for this organization is KEYSTONE WSNC LLC. The primary taxonomy selected by this provider is 2084P0800X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Psychiatry

The NPI profile was previously updated about 8 years ago on Sep 04, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OLD VINEYARD PHYSICIAN GROUP below.

NPI Profile for
KEYSTONE WSNC LLC

NPI Number
1780817452
Enumeration Date

(about 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KEYSTONE WSNC LLC
Doing Business As (dba): OLD VINEYARD PHYSICIAN GROUP
Primary location
3637 OLD VINEYARD RD
WINSTON-SALEM, NC 27104
Phone: (336) 794-3550 Fax: (336) 794-4339
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STEVE FILTON
VICE PRESIDENT
Phone: (610) 768-3300
Updated
Identifiers

Identifiers for OLD VINEYARD PHYSICIAN GROUP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNC5912567
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0800X
- Psychiatry & Neurology / Psychiatry (Primary)		 NC MHH0188

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.