Individual provider Active NPI

Sylvia L Coley, NP

  • Nurse Practitioner
  • Durham, NC
National Provider Identifier
1376054205
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5009992 Issued in NC
Practice address
540 Smallwood Dr
Durham, NC 27703-0355
Phone
(252) 724-1176
NPI assigned
Oct 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5009992 NC Primary

Addresses

Primary practice location

540 Smallwood Dr
Durham, NC 27703-0355

Mailing address

540 Smallwood Dr
Durham, NC 27703-0355
Phone (252) 724-1176

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
I20180102001440 NC Practitioner - Nurse Practitioner 5991063695 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pacs, PC CurrentSince May 1, 2022 Accepting new patients

Locations

10021 Park Cedar Dr
Ste 200
Charlotte, NC 28210
Phone (704) 438-9383

516 River Hwy
Ste D
Mooresville, NC 28117
Phone (980) 222-1379

Interoperability endpoints

  • Direct secure messaging: sylvia.coley@1103780654809092.direct.elationemr.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1376054205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 SMALLWOOD DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277030355",
            "telephone_number": "252-724-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 SMALLWOOD DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277030355",
            "telephone_number": "252-724-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEY",
        "first_name": "SYLVIA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5009992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.