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

Nicholas Theophilos Kipreos, MD

Individual provider Family Medicine Physician · NPI 1104825926

Nicholas Theophilos Kipreos, MD is a Family Practice in Mount Airy, North Carolina. Qualified in 1990, 36 years ago. Practices with Forsyth Memorial Hospital Inc, a 623-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina and Virginia.

Years since qualifying
36
Licensed in
NC, VA
In the registry since
2005
Specialties on file
2
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

865 W Lake Dr
Mount Airy, NC 27030-2157
Phone: (336) 719-6100
Fax: (336) 719-2313
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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 2016-00121 (NC)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0101049407 (VA)

Record details

NPI number1104825926
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 14, 2005
Last updated in NPPESJune 23, 2022
Certification dateJune 23, 2022

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Forsyth Memorial Hospital Inc — 623 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Mount Airy