Larry Justain Sykes, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

100388 Issued in NC

Practice address

217 E Elm St
Graham, NC 27253-3021

Phone

(336) 228-9671

Fax

(336) 228-9674

NPI assigned

Oct 15, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cardinal Health Services, PC

  • Geriatric Medicine (Family Medicine) Physician
  • Winston Salem, NC
  • NPI 1144575929
  NPD (past)
• Oldtown Immediate Care, PA

  • Family Medicine Physician
  • Winston Salem, NC
  • NPI 1194060368
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384473600000",
    "number": "1003191503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E ELM ST",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272533021",
            "telephone_number": "336-228-9671",
            "fax_number": "336-228-9674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E ELM ST",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272533021",
            "telephone_number": "336-228-9671",
            "fax_number": "336-228-9674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYKES",
        "first_name": "LARRY",
        "middle_name": "JUSTAIN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-15",
        "last_updated": "2013-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "100388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashton Stanfield, MS- SLP
• Stinson Dda#2
• Zach A Story, OTR/L, NSCA-CPT
• Whitney Strader, COTA
• Lili Jie Sun, M.D.
• Sharon Ann Talbert
• William Kent Tapscott, RPH, CCP
• Tar Heel Drug LTC, LLC
• Denny C. Tate, MD
• Tora L'Adele Taylor-Glover, MSW, LCSW

• Physician Assistant in Graham, NC
• Providers in Graham, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.