Darryl Sandidge, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-06204 Issued in NC

Practice address

1260 N Arendell Ave
Zebulon, NC 27597-8730

Phone

(919) 235-1965

Fax

(919) 235-1326

NPI assigned

Apr 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolina Quickcare Family Practice, PLLCGroup PAC ID 0840682340, 107 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wilson Medical Center Hospital, Wilson, NC, CCN 340126

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Carolina Quickcare Family Practice, PLLC

  • Internal Medicine Physician
  • Biscoe, NC
  • NPI 1881360899

  Urgent Care

  Medicare reassignment Care Compare group NPD
• Dispatchhealth, PC

  • Emergency Medicine Physician
  • Raleigh, NC
  • NPI 1932714284
  Medicare reassignment
• Raleigh Emergency Medicine Associates Inc

  • Emergency Medicine Physician
  • Raleigh, NC
  • NPI 1790736973
  Medicare reassignment
• Wake Specialty Physicians, LLC

  • Surgery Physician
  • Raleigh, NC
  • NPI 1942440375
  Medicare reassignment
• Wilson Medical Group, PLLC

  • Internal Medicine Physician
  • Wilson, NC
  • NPI 1376564625
  Medicare reassignment
• Emergency Coverage, LLC

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008

  NC

  Medicare reassignment
• True North Health Navigation LLC

  • Emergency Medicine Physician
  • Raleigh, NC
  • NPI 1093343501
  NPD
• Wake Specialty Physicians, LLC

  • Pediatrics Physician
  • Raleigh, NC
  • NPI 1427469469
  NPD
• Wake Specialty Physicians LLC

  • Family Medicine Physician
  • Morrisville, NC
  • NPI 1174491138
  NPD (past)
• Desert Valley Urgent Care, PLLC

  • Urgent Care Clinic/Center
  • Chandler, AZ
  • NPI 1811160492
  NPD (past)
• Emergency Physicians of St. Johns County

  • Emergency Medicine Physician
  • St Augustine, FL
  • NPI 1801881818
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• DLP Wilson Medical Center LLC

  • General Acute Care Hospital
  • Wilson, NC
  • NPI 1215359922
  Care Compare affiliation
• DLP Wilson Medical Center LLC

  • Psychiatric Hospital Unit
  • Wilson, NC
  • NPI 1386196459
  Care Compare affiliation

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1730141938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602195",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602195",
            "telephone_number": "919-350-8991",
            "fax_number": "919-350-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 N ARENDELL AVE",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275978730",
            "telephone_number": "919-235-1965",
            "fax_number": "919-235-1326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 S. Main St",
            "address_purpose": "LOCATION",
            "city": "Wake Forest",
            "state": "NC",
            "postal_code": "275871652",
            "country_code": "US",
            "telephone_number": "919-350-0365",
            "fax_number": "919-235-1307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12701 US 70W Business",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "NC",
            "postal_code": "275202195",
            "country_code": "US",
            "telephone_number": "919-235-1968",
            "fax_number": "919-235-1307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4220 Apex Hwy Ste 160",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277135295",
            "country_code": "US",
            "telephone_number": "919-897-8784",
            "fax_number": "720-598-0440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4420 Lake Boone Trl",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276077505",
            "country_code": "US",
            "telephone_number": "919-924-1717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDIDGE",
        "first_name": "DARRYL",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NC",
            "license": "0010-06204",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102240",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-06204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICAL BOARD",
            "identifier": "0010-06204",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dsandidge174949@direct.unc.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "4420 LAKE BOONE TRAIL",
            "city": "RALEIGH",
            "state": "NC",
            "country_code": "US",
            "postal_code": "27607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alex Riddick, LCSW, LCAS
• Jennifer Marie Rinkes-Smith, DOCTOR OF PHARMACY
• Katherine Rosado
• Royalhome Careaide LLC
• Rusmed Consultants, LLC
• Ryan Patrick Sandy
• Alonzo Akeem Satawhite, MSW, LCSWA
• Servant Pharmacy of Raleigh LLC
• Jamie B. Sessoms, LCSW
• Amy Renee Sexton, D.D.S.

• Physician Assistant in Zebulon, NC
• Providers in Zebulon, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.

Verify at the official NPI Registry.