Individual Healthcare Provider
Carol Logan Vincent, MD
Provider's NPPES record last updated: August 22, 2023
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1134489602
- Primary Specialty
- Pediatrics — Pediatric Nephrology
- Practice Location
- Winston Salem, North Carolina
- Sole Proprietor
- Yes
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 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, 11:36 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
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.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Pediatrics
Pediatric Nephrology
Allopathic & Osteopathic Physicians
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Taxonomy code 2080P0210X 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
- Pediatrics (North Carolina)
- 2016-01060
- Student in an Organized Health Care Education/Training Program (North Carolina)
- 183249
Practice Locations
Practice Location
Medical Center Blvd
Winston Salem, North Carolina 27157-0001
Phone: (336) 713-4500
Additional Practice Location
247 Macnider Hl
Cb 7593
Chapel Hill, North Carolina 27599-0001
Phone: (919) 960-6094
Additional Practice Location
3903 N Elm St
Greensboro, North Carolina 27455-2877
Phone: (336) 713-4500
Fax: (336) 713-4501
Record Information
- Enumeration Date
- May 18, 2012
- Provider's NPPES Record Last Updated
- August 22, 2023
- Certification Date
- August 22, 2023
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue