Individual provider Active NPI

Alicia B Sigmon, P.A.-C

  • Medical Physician Assistant
  • Conover, NC
National Provider Identifier
1730148172
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
101967 Issued in NC
Practice address
305 1St Street East
Conover, NC 28613
Phone
(828) 464-3821
Fax
(828) 464-8994
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 101967 NC Primary

Addresses

Primary practice location

305 1St Street East
Conover, NC 28613

Mailing address

PO Drawer 1239
Conover, NC 28613
Phone (828) 464-3821

Other identifiers 1

IdentifierTypeStateIssuer
CN8132OtherNCMEDICARE RAILROAD

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
I20070910000133 NC Practitioner - Physician Assistant 1052404951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Forest Health Network LLCGroup PAC ID 4183538895, 276 clinicians

Practice addresses (Care Compare)

2359 Springs Rd NE
Hickory, NC 28601-3067
Phone (828) 256-9853

305 1St St E
Conover, NC 28613-1715
Phone (828) 464-3821

770 Highland Oaks Dr
Winston Salem, NC 27103-7105
Phone (336) 765-5250

905 Phillips Ave
High Point, NC 27262-7075
Phone (336) 802-2040

Medical Ctr Blvd
Winston Salem, NC 27157-0001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Health Network, LLC CurrentSince Jun 1, 2012 Accepting new patients
Cornerstone Health Care, PA CurrentSince Jun 1, 2012 Accepting new patients
Crown Health Care PA Past Accepting new patients
Crown Health Care Past Accepting new patients
Cornerstone Health Care LLC Past Accepting new patients

Locations

305 1st St E
Conover, NC 28613
Phone (828) 464-3821

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

Interoperability endpoints

  • Direct secure messaging: asigmon2755502@carolinashealthcaresystem.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1730148172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO DRAWER 1239",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "28613",
            "telephone_number": "828-464-3821",
            "fax_number": "828-464-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 1ST STREET EAST",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "28613",
            "telephone_number": "828-464-3821",
            "fax_number": "828-464-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGMON",
        "first_name": "ALICIA",
        "middle_name": "B",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "101967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CN8132",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conover, NC

Sources for this page

Verify at the official NPI Registry.