Evelyn Amy Suttle

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

26159 Issued in NC

Practice address

161 E Lexington Rd
Mocksville, NC 27028-2635

Phone

(336) 753-6155

Fax

(336) 753-1280

NPI assigned

Mar 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Dragonfly House Childrens Advocacy Center, Inc.

  • Child Abuse Pediatrics Physician
  • Mocksville, NC
  • NPI 1871800177
  NPD (past)
• Thomasville/Archdale Pediatrics PLLC

  • Registered Dietitian
  • Thomasville, NC
  • NPI 1891094553
  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1235107020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 E LEXINGTON RD",
            "city": "MOCKSVILLE",
            "state": "NC",
            "postal_code": "270282635",
            "telephone_number": "336-753-6155",
            "fax_number": "336-753-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 E LEXINGTON RD",
            "city": "MOCKSVILLE",
            "state": "NC",
            "postal_code": "270282635",
            "telephone_number": "336-753-6155",
            "fax_number": "336-753-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTLE",
        "first_name": "EVELYN",
        "middle_name": "AMY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "26159",
            "primary": true
        },
        {
            "code": "2080C0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Child Abuse Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8981055",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danijela Stefanovic, PHARMD, BCPS
• Steven G. Laymon, OD, PA (Mocksville Vision Center)
• Beth Stroud, R.PH.
• Martha Laurin Stroud, LCSWA
• Summit Eye Care of Mocksville PA
• Mary Elizabeth Swiatek, LCMHC
• Karen Sylvester
• Patrick W Tankersley, LCMHC
• Kelley Taylor, NCLDO
• The Heritage of Cedar Rock

• Pediatrics Physician in Mocksville, NC
• Providers in Mocksville, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.