Individual provider Active NPI

Ya Xiong, NP

  • Family Nurse Practitioner
  • Elkin, NC
National Provider Identifier
1447043252
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5022227 Issued in NC
Practice address
1925 N Bridge St Ste 101
Elkin, NC 28621-2105
Phone
(336) 835-5330
Fax
(336) 835-5337
NPI assigned
May 24, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5022227 NC Primary

Addresses

Primary practice location

1925 N Bridge St Ste 101
Elkin, NC 28621-2105

Mailing address

1925 N Bridge St Ste 101
Elkin, NC 28621-2105
Phone (336) 835-5330

Other practice location 1

905 Rockford St Lowr Level
Mount Airy, NC 27030-5323
Phone (336) 835-5330

Other practice location 2

1909 W Park Dr
North Wilkesboro, NC 28659-3564
Phone (336) 835-5330

Other identifiers 1

IdentifierTypeStateIssuer
1447043252MedicaidVA

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
I20250626002995 NC Practitioner - Nurse Practitioner 6305358086 Reassigns benefits to 1 organization

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
Revival Pain Management IncGroup PAC ID 6406922343, 3 clinicians

Practice addresses (Care Compare)

1925 N Bridge St
Suite 101
Elkin, NC 28621-2105
Phone (336) 835-5330

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5022227NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Revival Pain Management Inc CurrentSince Apr 6, 2025 Accepting new patients

Locations

1925 N Bridge St
#101
Elkin, NC 28621
Phone (336) 835-5330

905 Rockford St
Lowr
Mount Airy, NC 27030
Phone (336) 835-5330

1909 W Park Dr
North Wilkesboro, NC 28659
Phone (336) 667-1001

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1748044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1447043252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 N BRIDGE ST STE 101",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212105",
            "telephone_number": "336-835-5330",
            "fax_number": "336-835-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 N BRIDGE ST STE 101",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212105",
            "telephone_number": "336-835-5330",
            "fax_number": "336-835-5337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 Rockford St Lowr Level",
            "address_purpose": "LOCATION",
            "city": "Mount Airy",
            "state": "NC",
            "postal_code": "270305323",
            "country_code": "US",
            "telephone_number": "336-835-5330",
            "fax_number": "336-835-5337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1909 W Park Dr",
            "address_purpose": "LOCATION",
            "city": "North Wilkesboro",
            "state": "NC",
            "postal_code": "286593564",
            "country_code": "US",
            "telephone_number": "336-835-5330",
            "fax_number": "336-835-5337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "XIONG",
        "first_name": "YA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-24",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5022227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447043252",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkin, NC

Sources for this page

Verify at the official NPI Registry.