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

John K Petty, MD

Individual provider Surgery Physician · NPI 1497731095

John K Petty, MD is a General Surgery in Winston Salem, North Carolina. Graduated from University of North Carolina at Chapel Hill School of Medicine in 1997, 29 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
29
Trained at
University of North Carolina at Chapel Hill School of Medicine
Licensed in
NC
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

Medical Center Blvd
Winston Salem, NC 27157-0001
Phone: (336) 716-2255
Fax: (336) 716-6637
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 200501628 (NC)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 200501628 (NC)
Pediatric Surgery Physician Taxonomy 2086S0120X · Licence 200501628 (NC)

Record details

NPI number1497731095
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 16, 2005
Last updated in NPPESNovember 12, 2010

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Winston Salem