Active NPI
Fuzhou Wang, PA
- Physician Assistant
- Clemmons, NC
National Provider Identifier
1164328787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 6915 Village Medical Cir
Clemmons, NC 27012-8002 - Phone
- (336) 893-1000
- NPI assigned
- Oct 19, 2026
- Last updated
- Oct 19, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NC | Primary |
Addresses
Primary practice location
6915 Village Medical Cir
Clemmons, NC 27012-8002
Mailing address
2013 Rossmore Rd
Clemmons, NC 27012-7911
Phone (336) 734-3249
Other practice location 1
1750 Kernersville Medical Pkwy
Kernersville, NC 27284-7146
Phone (336) 564-4000
Other practice location 2
207 Old Lexington Rd
Thomasville, NC 27360-3428
Phone (336) 472-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792368000000",
"number": "1164328787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2013 ROSSMORE RD",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "270127911",
"telephone_number": "336-734-3249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6915 VILLAGE MEDICAL CIR",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "270128002",
"telephone_number": "336-893-1000"
}
],
"practiceLocations": [
{
"address_1": "1750 Kernersville Medical Pkwy",
"address_purpose": "LOCATION",
"city": "Kernersville",
"state": "NC",
"postal_code": "272847146",
"country_code": "US",
"telephone_number": "336-564-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "207 Old Lexington Rd",
"address_purpose": "LOCATION",
"city": "Thomasville",
"state": "NC",
"postal_code": "273603428",
"country_code": "US",
"telephone_number": "336-472-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANG",
"first_name": "FUZHOU",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-10-19",
"last_updated": "2026-10-19",
"certification_date": "2026-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clemmons, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.