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

Ennie Austin

Individual provider Family Nurse Practitioner · NPI 1881248029

Ennie Austin is a Nurse Practitioner in Winston Salem, North Carolina. Qualified in 2018, 8 years ago. Practices with Forsyth Memorial Hospital Inc, a 623-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
8
Licensed in
NC
In the registry since
2019
Specialties on file
2

Practice location Address checks out

186 Kimel Park Dr
Winston Salem, NC 27103-6946
Phone: (336) 277-2000
Fax: (336) 277-2050
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5011958 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 5011958 (NC)

Record details

NPI number1881248029
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 26, 2019
Last updated in NPPESOctober 26, 2020
Certification dateSeptember 6, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Forsyth Memorial Hospital Inc — 623 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Winston Salem