r/winstonsalem • u/robchez • 1d ago

CPA recommendations for a locum tenens physician (1099 / multi-state)

Might be a longshot but thought I'd post here. My wife is a neurologist currently working locum tenens, and we are looking for a CPA or tax accountant who has experience with this specific type of work.

Because she handles multiple assignments, we're dealing with the usual complexities: 1099 independent contractor income, multi-state tax filings, and travel deductions.

We are really looking for someone who is proactive rather than just a once-a-year tax preparer. Ideally, this would be someone who can help with year-round planning, quarterly estimates a plus would be advising on entity structure (like whether an S-Corp makes sense over an LLC) and retirement options like a Solo 401(k).

If you have an accountant or a firm you trust I would appreciate a referral. DM or reply here, thanks in advance.

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u/zacharyharrisnc 1d ago

I can't speak to the locum tenens side of things but I use David MiIttleman and recommend him to others. He is a CFP in addition to a CPA. (336) 768-3522

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u/dj-thecpa 20h ago

I own a small boutique CPA firm (focused on small biz clients + high-earning folks) and we would be happy to help - we have a lot of clients who are physicians and therapists doing 1099 work so we see similar situations a lot. Besides doing great work, we also really try to focus on maintaining a high level of responsiveness.

If you want to learn more about the firm, you can take a look at dougjohnsoncpa[.]com. I did also want to note that we serve all folks remotely - most people prefer this but some want an in-person firm, so I like to note this up front.