Individual provider Active NPI

James Ryan Sorrells, PA-C

  • Physician Assistant
  • Fuquay Varina, NC
National Provider Identifier
1174148092
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-10252 Issued in NC
Practice address
1617 N Main St Ste 101
Fuquay Varina, NC 27526-9021
Phone
(984) 215-6595
Fax
(984) 215-6596
NPI assigned
Jun 16, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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 0010-10252 NC Primary

Addresses

Primary practice location

1617 N Main St Ste 101
Fuquay Varina, NC 27526-9021

Mailing address

212 Thompson Street
Hendersonville, NC 28792
Phone (828) 696-1000

Other practice location 1

212 Thompson Street
Hendersonville, NC 28792
Phone (828) 696-1000

Other identifiers 1

IdentifierTypeStateIssuer
NNC679AOtherNCMEDICARE PTAN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jsorrells500543@direct.unc.nchie.net Direct
Direct Messaging Address jsorrells500543@direct.UNC.nchie.net Direct

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
I20200728001052 NC Practitioner - Physician Assistant 0547684284 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of North Carolina at Chapel Hill School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians

Practice addresses (Care Compare)

101 SW Cary Pkwy
Suite 10
Cary, NC 27511-5562
Phone (919) 467-7678

1059 Beaver Creek Commons Dr
Unit 230
Apex, NC 27502-3918
Phone (984) 960-1300

1104 Market Ctr Dr
Suite 130
Morrisville, NC 27560-7504
Phone (984) 960-1200

11200 Governor Manly Way
Raleigh, NC 27614-7360

1165 US Hwy 70 W
Garner, NC 27529-2547
Phone (984) 960-1400

1617 N Main St
Fuquay Varina, NC 27526-9021

3050 Duraleigh Rd
Raleigh, NC 27612-5451

4420 Lake Boone TRL
Raleigh, NC 27607-7505

6602 Knightdale Blvd
Knightdale, NC 27545-6526

781 Avent Ferry Rd
Holly Springs, NC 27540-7776

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-10252NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rex Hospital Inc Past Accepting new patients
Henderson County Hospital Corporation Past Accepting new patients

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": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1174148092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 THOMPSON STREET",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "28792",
            "telephone_number": "828-696-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 N MAIN ST STE 101",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275269021",
            "telephone_number": "984-215-6595",
            "fax_number": "984-215-6596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 Thompson Street",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "NC",
            "postal_code": "28792",
            "country_code": "US",
            "telephone_number": "828-696-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORRELLS",
        "first_name": "JAMES",
        "middle_name": "RYAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-16",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-10252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NNC679A",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsorrells500543@direct.unc.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "cda/ccd/txt",
            "address_1": "212 Thompson Street",
            "city": "Hendersonville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsorrells500543@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1617 N Main St Ste 101",
            "city": "Fuquay Varina",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275269021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

Verify at the official NPI Registry.