Individual provider Active NPI

Deborah Lee Sumrall, CPNP-AC

  • Acute Care Clinical Nurse Specialist
  • Winston Salem, NC
National Provider Identifier
1700595444
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Clinical Nurse SpecialistTaxonomy code 364SA2100X
License
5019514 Issued in NC
Practice address
1 Medical Center Blvd
Winston Salem, NC 27157-3607
Phone
(336) 713-4500
NPI assigned
Nov 22, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SA2100X 5019514 NC Primary

Addresses

Primary practice location

1 Medical Center Blvd
Winston Salem, NC 27157-3607

Mailing address

1900 Bangor Rd
Charlotte, NC 28217-7957
Phone (702) 808-1555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230215000557 DE Practitioner - Nurse Practitioner 3173995461 Reassigns benefits to 1 organization
I20240315001994 NC Practitioner - Nurse Practitioner 3173995461 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5019514NCMDAcute Care Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
The Nemours Foundation CurrentSince Feb 13, 2023 Accepting new patients
The Nemours Foundation Single Specialty CurrentSince Feb 13, 2023 Accepting new patients
Wake Forest University Health Sciences Single Specialty CurrentSince Apr 29, 2024 Accepting new patients

Locations

1600 Rockland Rd
Wilmington, DE 19803

2005 Pisgah Church Rd
Greensboro, NC 27455
Phone (336) 701-2662

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: droy123565@direct.nemours.org
  • Direct secure messaging: droy760729@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: droy@incredicarepediatrics.opdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1700595444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 BANGOR RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282177957",
            "telephone_number": "702-808-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271573607",
            "telephone_number": "336-713-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMRALL",
        "first_name": "DEBORAH",
        "middle_name": "LEE",
        "credential": "CPNP-AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-22",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "NC",
            "license": "5019514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.