Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ted James Nifong, MD

Individual provider Family Medicine Physician · NPI 1063599587

Dr. Ted James Nifong, MD is a Family Practice in Winston Salem, North Carolina. Graduated from Wake Forest University School of Medicine in 1987, 39 years ago. Practices with Cedar Creek Family Medicine PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
39
Trained at
Wake Forest University School of Medicine
Licensed in
NC
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5350 S Main St
Winston Salem, NC 27107-9174
Phone: (336) 784-0505
Fax: (336) 784-5031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 32817 (NC)

Record details

NPI number1063599587
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESFebruary 1, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 1987 (39 years in practice)
Group practice Cedar Creek Family Medicine Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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