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

Peyton Ray Headden

Individual provider Physician Assistant · NPI 1770322737

Peyton Ray Headden is a Physician Assistant in Winston Salem, North Carolina. Qualified in 2024, 2 years ago. Practices with Forsyth Memorial Hospital Inc, a 623-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2024
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Practice location Address checks out

12208 N Nc Highway 150
Winston Salem, NC 27127-9730
Phone: (336) 764-2324
Fax: (336) 764-9541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2265 Lewisville Clemmons Rd, Clemmons, NC 27012-7462 — (336) 716-8575
  • 3445 Royalton St, Winston Salem, NC 27104-3934 — (803) 207-5566

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-14365 (NC)

Record details

NPI number1770322737
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 20, 2024
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Forsyth Memorial Hospital Inc — 623 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Winston Salem