Active NPI
Levy Nathan Wiseman-Floyd, PA-C
- Physician Assistant
- Durham, NC
National Provider Identifier
1588376149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-12829
- Practice address
- 5501 Fortunes Ridge Dr Ste P
Durham, NC 27713-6102 - Phone
- (929) 391-7202
- NPI assigned
- Dec 14, 2022
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-12829 | NC | Primary |
Addresses
Primary practice location
5501 Fortunes Ridge Dr Ste P
Durham, NC 27713-6102
Mailing address
5501 Fortunes Ridge Dr Ste P
Durham, NC 27713-6102
Phone (919) 391-7202
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
- Physician Assistant
- Education
- George Washington University School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10420 Park Rd
Suite 300
Charlotte, NC 28210-8502
Phone (980) 237-4766
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Animo Sano Psychiatry PLLC | Psychiatry | Current | Accepting new patients |
Locations
2741 Campus Walk Ave
Bldg 400
Durham, NC 27705
Phone (919) 909-1230
5501 Fortunes Ridge Dr
Ste P
Durham, NC 27713
Phone (919) 319-7202
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Charlotte, NC
- NPI 1770056038
-
- Psychiatry Physician
- Durham, NC
- NPI 1568043537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1588376149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5501 FORTUNES RIDGE DR STE P",
"city": "DURHAM",
"state": "NC",
"postal_code": "277136102",
"telephone_number": "919-391-7202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5501 FORTUNES RIDGE DR STE P",
"city": "DURHAM",
"state": "NC",
"postal_code": "277136102",
"telephone_number": "929-391-7202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISEMAN-FLOYD",
"first_name": "LEVY",
"middle_name": "NATHAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-14",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-12829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.