DR. TIM DAVIS WAX MD NPI 1881686178

NPI Information

NPI: 1881686178
Provider Name: DR. TIM DAVIS WAX, MD
Classification: Pathology - 207ZP0102X
Specialization: Anatomic Pathology & Clinical Pathology
Entity Type: Individual
PECOS Registration: Yes
Address: 105 W 4TH ST STE 600
WINSTON SALEM, NC
ZIP 27101
Phone: (336) 306-5777

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NPI Details

DR. Tim Davis Wax, MD is an anatomic pathology and clinical pathology pathology in Winston Salem, NC with 37 years of experience. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. DR. Tim Davis Wax, MD NPI is 1881686178. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduation Year:1989

The provider's business location address is:

105 W 4TH ST STE 600
WINSTON SALEM, NC
ZIP 27101-816
Phone: (336) 306-5777
Fax: (336) 999-8889

The NPI 1881686178 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/22/2005 and was last updated on 10/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207ZP0102X	Pathology	Anatomic Pathology & Clinical Pathology	33929	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	86073	OTHER	NORTH CAROLINA	BCBS OF NC
2	8986073	MEDICAID	NORTH CAROLINA
3	220016574	OTHER		RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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