Organization Active NPI

Oasis Mental Wellness, PLLC

  • Physician Assistant
  • Holly Springs, NC
National Provider Identifier
1093595969
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
OASIS MENTAL WELLNESS, PLLC
Practice address
1140 Holly Springs Rd Ste 209
Holly Springs, NC 27540-9634
Phone
(919) 704-7324
Fax
(919) 626-9524
NPI assigned
Sep 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Lydia Kymberlie Sparks Ramos, PA-CNPI 1033632112
Title
Owner
Phone
(919) 704-7324

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

1140 Holly Springs Rd Ste 209
Holly Springs, NC 27540-9634

Mailing address

644 Holly Springs Rd Ste 322
Holly Springs, NC 27540-9030

Other practice location 1

515 Keisler Dr Ste 104
Cary, NC 27518-7097
Phone (919) 704-7324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240822002377 NC Part B Supplier - Clinic/Group Practice 4082153044 Receives reassigned benefits from 1 practitioner
Practice locations: Holly Springs, NC; Cary, NC

National Provider Directory

National Provider Directory

Locations

515 Keisler Dr
Ste 104
Cary, NC 27518
Phone (919) 297-8438

300 S Main St
Ste 212
Holly Springs, NC 27540
Phone (919) 415-1212

1140 Holly Springs Rd
Ste 209
Holly Springs, NC 27540
Phone (919) 704-7324

644 Holly Springs Rd
Ste 322
Holly Springs, NC 27540

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1093595969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 HOLLY SPRINGS RD STE 322",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275409030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 HOLLY SPRINGS RD STE 209",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275409634",
            "telephone_number": "919-704-7324",
            "fax_number": "919-626-9524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 Keisler Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275187097",
            "country_code": "US",
            "telephone_number": "919-704-7324",
            "fax_number": "919-626-9524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OASIS MENTAL WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-29",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "KYMBERLIE SPARKS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-704-7324",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.