John Michael Provenza, MD
John Michael Provenza, MD practises Gastroenterology in Winston Salem, North Carolina. Graduated from Louisiana State University School of Medicine in Shreveport in 2013, 13 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.
- Years since qualifying
- 13
- Trained at
- Louisiana State University School of Medicine in Shreveport
- Licensed in
- NC
- In the registry since
- 2017
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Partly verified
Medical Center BlvdWinston Salem, NC 27157-1900
Phone: (336) 713-7311
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 625 19th St S, Birmingham, AL 35233-1900 — (205) 934-9666
Specialties & licences
| Gastroenterology Physician (primary) | Taxonomy 207RG0100X · Licence 2023-01626 (NC) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1508399346 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 8, 2017 |
| Last updated in NPPES | June 12, 2023 |
| Certification date | June 12, 2023 |
Medicare enrollment
| Medicare specialty | GASTROENTEROLOGY |
|---|---|
| Medical school | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduated | 2013 (13 years in practice) |
| Group practice | Wake Forest University Health Sciences — 2621 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Procedures
| Colonoscopy | 47 times |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 47 times |
Medicare patients and services, 2024
| Medicare patients | 154 |
|---|---|
| Services billed | 220 |
| Average patient age | 69 |
Payments from drug and device companies, 2025
| Food and Beverage | $194 |
|---|
Practises at
- North Carolina Baptist Hospital Hospital · Winston-Salem, NC
Colleagues at Wake Forest University Health Sciences
- Stephanie Brauch Occupational Therapist · Belmont, NC
- Melinda H Gilbert Certified Registered Nurse Anesthetist · High Point, NC
- Mr. Brian Christopher Griffin, PA Physician Assistant · Lexington, NC
- Mrs. Suzann B Hedgecock, PA-C Medical Physician Assistant · High Point, NC
- Angela Draughon Rickelton, CRNA Registered Nurse · Greensboro, NC
- Caitlin Swayze Rierson, PA-C Medical Physician Assistant · Eden, NC
- Alexander Ivanovich Sorokin, MD Hospitalist Physician · Winston Salem, NC
- Jeffrey Tweed Spang, MD Orthopaedic Surgery Physician · Chapel Hill, NC
- Shane Aaron Toomes, CRNA Certified Registered Nurse Anesthetist · Raleigh, NC
- Dr. Davis D Vu, MD Family Medicine Physician · Winston Salem, NC
- Dr. Brian Robert Waterman, MD Orthopaedic Surgery Physician · Winston Salem, NC
- Jeff Douglas Williamson, MD Geriatric Medicine (Internal Medicine) Physician · Winston Salem, NC
Other providers in Winston Salem
-
Randy Alan Peters, MD
1830 S Hawthorne Rd, Winston Salem, NC 27103-4047 · (336) 448-2427
-
Piedmont Gastroenterology Specialists, PA
1901 S Hawthorne Rd Ste 310, Winston Salem, NC 27103-3921 · (336) 760-4340
-
Gary Darneville Poleynard, MD
2025 Frontis Plaza Blvd Ste 200, Winston Salem, NC 27103-5663 · (336) 768-6211
-
Dr. Apsara Prasad, MD
195 Kimel Park Dr Ste 200, Winston Salem, NC 27103-6967 · (336) 768-6211
-
Dr. Dhyan Rajan, MD
195 Kimel Park Dr Ste 200, Winston Salem, NC 27103-6967 · (336) 768-6211
-
Dr. David B. Ramsay IV, MD
195 Kimel Park Dr Ste 200, Winston Salem, NC 27103-6967 · (336) 768-6211
-
Michael Hotelling Rubin, MD
1830 S Hawthorne Rd, Winston Salem, NC 27103-4047 · (336) 765-0463
-
Victor Wilson Sears, MD
2025 Frontis Plaza Blvd Ste 200, Winston Salem, NC 27103-5663 · (336) 768-6211