Individual provider Active NPI

Bradley L. Laymon, PA

  • Physician Assistant
  • Winston Salem, NC
National Provider Identifier
1528033172
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
103465 Issued in NC
Practice address
2452 Fairlawn CT
Winston Salem, NC 27106-3884
Phone
(336) 443-9910
Fax
(336) 443-9909
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 103465 NC Primary

Addresses

Primary practice location

2452 Fairlawn CT
Winston Salem, NC 27106-3884

Mailing address

PO Box 601843
Charlotte, NC 28260-1843

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address blaymon4863@direct.novanthealth.org

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
I20040920000299 NC Practitioner - Physician Assistant 0042288961 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Medicorp Enterprises LLCGroup PAC ID 0648174904, 184 clinicians

Practice addresses (Care Compare)

105 Hanes Square Cir
Winston Salem, NC 27103-5514
Phone (336) 441-5569

2452 Fairlawn CT
Winston Salem, NC 27106-3884
Phone (336) 281-5965

2635 Lawndale Dr
Greensboro, NC 27408-4802
Phone (336) 867-4310

3163 Gammon LN
Clemmons, NC 27012-9052
Phone (336) 310-5571

50 Miller St
Suite C
Winston Salem, NC 27104-4206
Phone (336) 310-5535

600 Highland Oaks Dr
Winston Salem, NC 27103-7107
Phone (366) 774-0040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Medical Group Inc CurrentSince Apr 10, 2019 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Apr 10, 2019 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Jun 10, 2002 Accepting new patients
Carolina Medicorp Enterprises Inc Past Accepting new patients

Locations (25 of 30)

349 New Leicester Hwy
Asheville, NC 28806
Phone (828) 412-0327

674 Merrimon Ave
Ste 101
Asheville, NC 28804
Phone (828) 348-7418

201 NC Highway 9
Black Mountain, NC 28711
Phone (828) 412-0327

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

8450 Park Rd
Charlotte, NC 28210
Phone (980) 308-0143

11840 Southmore Dr
Ste 100
Charlotte, NC 28277
Phone (704) 316-4440

114 S Sharon Amity Rd
Charlotte, NC 28211
Phone (980) 337-4428

13129 S Tryon St
Ste 120
Charlotte, NC 28278
Phone (980) 337-4662

445 S Kings Dr
Charlotte, NC 28204
Phone (704) 384-1734

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

3836 Corning Pl
Charlotte, NC 28216
Phone (704) 317-2108

15235 John J Delaney Dr
Ste B
Charlotte, NC 28277
Phone (704) 243-8937

4304 Park Rd
Charlotte, NC 28209
Phone (704) 272-3395

8036 Providence Rd
Ste 100
Charlotte, NC 28277
Phone (980) 301-8711

5303 Poplar Tent Rd
Ste 90
Concord, NC 28027
Phone (980) 866-4493

2635 Lawndale Dr
Greensboro, NC 27408
Phone (336) 867-4310

5870 Samet Dr
High Point, NC 27265
Phone (336) 803-7311

9121 Sam Furr Rd
Ste 108
Huntersville, NC 28078
Phone (704) 324-3590

794 S Main St
Ste B
Kernersville, NC 27284
Phone (336) 904-2317

1977 Cotton Grove Rd
Lexington, NC 27292
Phone (336) 243-3000

9600 E Independence Blvd
#B
Matthews, NC 28105
Phone (704) 815-5624

11300 Cresthill Dr
Ste 120
Mint Hill, NC 28227
Phone (704) 438-9479

1122 Randolph St
Ste 110
Thomasville, NC 27360
Phone (336) 474-3433

903 Randolph St
Ste 1
Thomasville, NC 27360
Phone (336) 475-7163

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: blaymon4863@direct.novanthealth.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1528033172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601843",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2452 FAIRLAWN CT",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063884",
            "telephone_number": "336-443-9910",
            "fax_number": "336-443-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYMON",
        "first_name": "BRADLEY",
        "middle_name": "L.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "blaymon4863@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "2452 Fairlawn Ct",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271063884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.