Active NPI
Angela Leigh Anderson, NP
- Family Nurse Practitioner
- N Wilkesboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5005204
- Practice address
- 1913 W Park Dr
N Wilkesboro, NC 28659-3564 - Phone
- (336) 844-8020
- Fax
- (336) 844-8029
- NPI assigned
- Jun 27, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5005204 | NC | |
| Family Nurse Practitioner | 363LF0000X | 5005204 | NC | Primary |
Addresses
Primary practice location
1913 W Park Dr
N Wilkesboro, NC 28659-3564
Mailing address
1913 W Park Dr
North Wilkesboro, NC 28659-3564
Phone (336) 844-8020
Other practice location 1
250 18th Street Cir SE
Hickory, NC 28602-1361
Phone (828) 324-4005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417243502 | Medicaid | NC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Novant Health Medical Group, LLC
Practice addresses (Care Compare)
190 Kimel Park Dr
Suite 140
Winston Salem, NC 27103-6946
Phone (336) 277-2225
2080 W Arlington Blvd
Suite B
Greenville, NC 27834-3770
Phone (252) 752-2140
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Carolinas Emergency Group, PLLC | Current | Accepting new patients | |
| East Carolina Anesthesia Associates, PLLC | Current | Accepting new patients | |
| Springs Road Consulting LLC | Past | Accepting new patients |
Locations
2010 W Arlington Blvd
Greenville, NC 27834
Phone (252) 847-0601
2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140
2080 W Arlington Blvd
Ste B
Greenville, NC 27834
Phone (252) 752-2140
420 N Center St
Hickory, NC 28601
Phone (704) 660-4055
321 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5100
600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100
2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393
2410 Montgomery Dr SW
Wilson, NC 27893
Phone (252) 291-5940
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
-
- Emergency Medicine Physician
- Dunn, NC
- NPI 1477508836
-
- Internal Medicine Physician
- Hickory, NC
- NPI 1649623703
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lenoir, NC
- NPI 1114974029
-
- General Acute Care Hospital
- Hickory, NC
- NPI 1164495255
-
dba Frye Regional Medical Center
- General Acute Care Hospital
- Hickory, NC
- NPI 1801823349
-
dba Novant Health Forsyth Medical Center
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1447200233
-
dba Wilkes Regional Medical Center
- General Acute Care Hospital
- North Wilkesboro, NC
- NPI 1881614071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1417243502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1913 W PARK DR",
"city": "NORTH WILKESBORO",
"state": "NC",
"postal_code": "286593564",
"telephone_number": "336-844-8020",
"fax_number": "336-844-8029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1913 W PARK DR",
"city": "N WILKESBORO",
"state": "NC",
"postal_code": "286593564",
"telephone_number": "336-844-8020",
"fax_number": "336-844-8029"
}
],
"practiceLocations": [
{
"address_1": "250 18th Street Cir SE",
"address_purpose": "LOCATION",
"city": "Hickory",
"state": "NC",
"postal_code": "286021361",
"country_code": "US",
"telephone_number": "828-324-4005",
"fax_number": "828-315-5974",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "ANGELA",
"middle_name": "LEIGH",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-27",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5005204",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5005204",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1417243502",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in N Wilkesboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.