Individual provider Active NPI

Gwendolyn Woods Siler, PA-C

  • Physician Assistant
  • Sanford, NC
National Provider Identifier
1144290669
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
100215 Issued in NC
Practice address
127 N Steele St
Sanford, NC 27330-3917
Phone
(919) 776-7640
Fax
(919) 776-2956
NPI assigned
Jan 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 100215 NC Primary

Addresses

Primary practice location

127 N Steele St
Sanford, NC 27330-3917

Mailing address

127 N Steele St
Sanford, NC 27330-3917
Phone (919) 776-7640

Other identifiers 2

IdentifierTypeStateIssuer
2331038OtherNCMEDICARE GROUP
5950672MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040124000300 NC Practitioner - Physician Assistant 9032011457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DLP Central Carolina Medical Group LLCGroup PAC ID 3577840420, 38 clinicians

Practice addresses (Care Compare)

127 N Steele St
Sanford, NC 27330-3917
Phone (919) 776-7640

75 Old Graham Rd
Pittsboro, NC 27312-5655
Phone (919) 542-2731

Hospital & facility affiliations

  • Central Carolina Hospital Hospital, Sanford, NC, CCN 340020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Central Carolina Medical Group LLC CurrentSince Feb 19, 2024 Accepting new patients
DLP Central Carolina Medical Group LLC CurrentSince Feb 19, 2024 Accepting new patients
DLP Central Carolina Medical Group LLC Physician Assistant Past Accepting new patients

Locations

75 Old Graham Rd
Pittsboro, NC 27312
Phone (919) 542-2731

127 N Steele St
Sanford, NC 27330
Phone (919) 776-7640

1911 K M Wicker Memorial Dr
Sanford, NC 27330
Phone (919) 775-1000

Interoperability endpoints

  • Direct secure messaging: gwen.siler.1@15593.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1144290669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 N STEELE ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273303917",
            "telephone_number": "919-776-7640",
            "fax_number": "919-776-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 N STEELE ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273303917",
            "telephone_number": "919-776-7640",
            "fax_number": "919-776-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILER",
        "first_name": "GWENDOLYN",
        "middle_name": "WOODS",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "100215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "2331038",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5950672",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

Verify at the official NPI Registry.