Active NPI
Ya Xiong, NP
- Family Nurse Practitioner
- Elkin, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5022227
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447043252 | Medicaid | VA |
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, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5022227 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revival Pain Management Inc | Current | 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.
-
- Interventional Pain Medicine Physician
- Elkin, NC
- NPI 1801813712
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elkin, NC
- NPI 1942361308
-
- General Acute Care Hospital
- Mount Airy, NC
- NPI 1366449282
-
- General Acute Care Hospital
- North Wilkesboro, NC
- NPI 1881614071
-
- General Acute Care Hospital
- Galax, VA
- NPI 1114292141
-
- Physical Therapy Clinic/Center
- Galax, VA
- NPI 1801161369
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.