Club Haven Family Practice PA
NPI 1922323948 · Family Medicine Physician · Winston Salem, NC
Club Haven Family Practice PA is a Family Medicine Physician organization in Winston Salem, NC (NPI 1922323948).
Provider details
- NPI number
- 1922323948
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mary Hatley, Practice Manager(336) 768-9575
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-04-01
- Last updated
- 2015-04-30
Frequently asked questions
- What is Club Haven Family Practice PA's NPI number?
- Club Haven Family Practice PA's National Provider Identifier (NPI) is 1922323948, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Club Haven Family Practice PA?
- Club Haven Family Practice PA is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Club Haven Family Practice PA located?
- Club Haven Family Practice PA's practice location on file with NPPES is 2801 Lyndhurst Ave, Winston Salem, NC 27103-4109.
- What is Club Haven Family Practice PA's phone number?
- The practice phone number listed in the NPPES registry for Club Haven Family Practice PA is (336) 768-9575.
- Who is the authorized official for Club Haven Family Practice PA?
- The authorized official listed on Club Haven Family Practice PA's NPPES record is Mary Hatley, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Club Haven Family Practice PA's NPI active?
- Yes — Club Haven Family Practice PA's NPI (1922323948) is active in the NPPES registry as of the last update on 2015-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.