Individual provider Active NPI

Sadonna Marlene Cofield

  • Family Nurse Practitioner
  • Rocky Mount, NC
National Provider Identifier
1700407103
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F04200157 Issued in NC
Practice address
154 SW Main St
Rocky Mount, NC 27804-5715
Phone
(252) 373-0229
Fax
(252) 937-3021
NPI assigned
Apr 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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 F04200157 NC Primary

Addresses

Primary practice location

154 SW Main St
Rocky Mount, NC 27804-5715

Mailing address

1011 Rock Quarry Rd
Raleigh, NC 27610-3825
Phone (919) 833-3111

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
I20211012002520 NC Practitioner - Nurse Practitioner 7214335884 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advance Community Health IncGroup PAC ID 3577471697, 32 clinicians
Moore Medical Group IncGroup PAC ID 9638354889, 18 clinicians

Practice addresses (Care Compare)

1011 Rock Quarry Rd
Raleigh, NC 27610-3825
Phone (919) 833-3111

3200 Waterfield Dr
Garner, NC 27529-7727
Phone (919) 800-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F04200157NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Community Health, Inc Current Accepting new patients
Theoria Medical CurrentSince Sep 6, 2022 Accepting new patients
Gods Promises of Rocky Mount, Inc CurrentSince Apr 9, 2024 Accepting new patients
Advance Community Health, Inc CurrentSince Mar 13, 2023 Accepting new patients
Advance Community Health, Inc CurrentSince Mar 13, 2023 Accepting new patients
Advance Community Health, Inc Current Accepting new patients
Moore Medical Group Inc CurrentSince Nov 1, 2025 Accepting new patients
Advance Community Health, Inc CurrentSince Mar 13, 2023 Accepting new patients
Moore Medical Group Inc Past Accepting new patients
Theoria Medical Past Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

212 S Salem St
Apex, NC 27502
Phone (919) 362-5201

187 High House Rd
Cary, NC 27511

130 N Judd Pkwy NE
Fuquay Varina, NC 27526
Phone (919) 346-0499

3200 Waterfield Dr
Garner, NC 27529
Phone (919) 502-1187

111 S Church St
Louisburg, NC 27549
Phone (919) 340-2500

430 W Health Center Dr
Nags Head, NC 27959
Phone (252) 441-3116

1011 Rock Quarry Rd
Raleigh, NC 27610

2620 New Bern Ave
Raleigh, NC 27610
Phone (919) 255-6721

1430 S Wilmington St
Raleigh, NC 27603

154 SW Main St
Rocky Mount, NC 27804
Phone (252) 937-3022

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1700407103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 ROCK QUARRY RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276103825",
            "telephone_number": "919-833-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 SW MAIN ST",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278045715",
            "telephone_number": "252-373-0229",
            "fax_number": "252-937-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFIELD",
        "first_name": "SADONNA",
        "middle_name": "MARLENE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-27",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "F04200157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

Verify at the official NPI Registry.