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NPISignal

Individual Healthcare Provider

Nicole Jean Prendergast

NPI Record: ActiveEmergency Medicine — Sports Medicine
NPI1073018081
Winston Salem, North Carolina

Provider's NPPES record last updated: July 4, 2023

Overview

Entity Type
Individual Healthcare Provider
NPI
1073018081
Primary Specialty
Emergency Medicine — Sports Medicine
Practice Location
Winston Salem, North Carolina
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 10:56 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Emergency Medicine

    Sports Medicine

    Allopathic & Osteopathic Physicians

    Primary

    An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.

    Taxonomy code 207PS0010X
  • Emergency Medicine

    Allopathic & Osteopathic Physicians

    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

    Taxonomy code 207P00000X
  • Student in an Organized Health Care Education/Training Program

    Student, Health Care

    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

    Taxonomy code 390200000X

Provider-Reported License Information

Emergency Medicine (North Carolina)
2023-01108
Emergency Medicine (Tennessee)
65293
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

Medical Center Boulevard

Winston Salem, North Carolina 27157-0001

Phone: (336) 716-2255

Additional Practice Location

900 Welch Rd

Palo Alto, California 94304-1805

Phone: (650) 723-9215

Additional Practice Location

3601 the Vanderbilt Clinic

Nashville, Tennessee 37232-1805

Phone: (615) 322-5000

Record Information

Enumeration Date
March 30, 2018
Provider's NPPES Record Last Updated
July 4, 2023
Certification Date
July 4, 2023
NPISignal NPPES Dataset
August 2026

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