Active NPI
Luke Christopher Naylor, PA-C
- Physician Assistant
- Bermuda Run, NC
National Provider Identifier
1194392225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-11328
- Practice address
- 329 NC Highway 801 N
Bermuda Run, NC 27006-7905 - Phone
- (336) 716-9253
- NPI assigned
- Jun 8, 2021
- Last updated
- Jul 27, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | ||
| Physician Assistant | 363A00000X | 0010-11328 | NC | Primary |
Addresses
Primary practice location
329 NC Highway 801 N
Bermuda Run, NC 27006-7905
Mailing address
Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 248-5161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210803001855 | NC | Practitioner - Physician Assistant | 3678977303 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- lnaylor2755534@carolinashealthcaresystem.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627344000000",
"number": "1194392225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271570001",
"telephone_number": "336-248-5161",
"fax_number": "336-716-0030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 NC HIGHWAY 801 N",
"city": "BERMUDA RUN",
"state": "NC",
"postal_code": "270067905",
"telephone_number": "336-716-9253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAYLOR",
"first_name": "LUKE",
"middle_name": "CHRISTOPHER",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-08",
"last_updated": "2021-07-27",
"certification_date": "2021-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-11328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bermuda Run, NC
- Allyson Elizabeth Mentock, MD
- ML Bermuda Village, LLC (Bermuda Village Retirement Center)
- Corey Jordan Moser, PTA
- Katelyn Helen Moser, PA-C
- Navid Azar Nafissi, MD
- North Carolina Baptist Hospital (Bermuda Run Pharmacy)
- Novant Health Medical Group, LLC (Novant Health Neurology and Sleep)
- Novant Health Medical Group, LLC (Novant Health Spine Specialists)
- Novant Health Medical Group, LLC (Novant Health Brain & Spine Surgery)
- Novant Medical Group, Inc. (Novant Health Sleep Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.