Individual provider Active NPI

Angela Syphaseut, AGNP-C

  • Gerontology Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1295627768
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
5022659 Issued in NC
Practice address
1201 Carolina St
Greensboro, NC 27401-1303
Phone
(336) 522-5700
NPI assigned
Jul 17, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pai Participant 29 PC 23 clinicians
T4 Medical PLLC 30 clinicians

Practice addresses (Care Compare)

1201 Carolina St
Greensboro, NC 27401-1303
Phone (336) 522-5700

211 Milton Brown Heirs Rd
Boone, NC 28607-8708
Phone (706) 737-9250

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20250910004041 NC Practitioner - Nurse Practitioner 2264935899 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pai Participant 29, P.C. CurrentSince Dec 14, 2025 Accepting new patients
T4 Medical PLLC CurrentSince Jul 17, 2025 Accepting new patients

Locations

211 Milton Brown Heirs Rd
Boone, NC 28607
Phone (828) 264-6720

1201 Carolina St
Greensboro, NC 27401
Phone (336) 275-0751

1287 Newsome St
Mount Airy, NC 27030
Phone (336) 786-2133

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 5022659 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

1201 Carolina St
Greensboro, NC 27401-1303

Mailing address

340 Herndon LN
Boone, NC 28607-6572
Phone (336) 572-2550

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 17, 2025.

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1295627768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 HERNDON LN",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286076572",
            "telephone_number": "336-572-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 CAROLINA ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011303",
            "telephone_number": "336-522-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYPHASEUT",
        "first_name": "ANGELA",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5022659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.