Sia Sam-Sumana

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5020304 Issued in NC

Practice address

3616 Cape Center Dr Ste a
Fayetteville, NC 28304-4456

Phone

(910) 779-0780

NPI assigned

Jul 2, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Medicine and Rehabilitation Center PCGroup PAC ID 6103811518, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Unc Health Care Wayne Hospital, Goldsboro, NC, CCN 340010

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10063668

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.

• Family Medicine & Rehabilitation Center, PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Goldsboro, NC
  • NPI 1457436917
  Medicare reassignment Care Compare group NPD
• Divine Family Practice and Urgent Care, PLLC

  • Urgent Care Clinic/Center
  • Fayetteville, NC
  • NPI 1477197168
  Medicare reassignment NPD
• David Wichnoski, O.D. , P.a.

  • Optometrist
  • Charlotte, NC
  • NPI 1114045085
  NPD (past)

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

• Wayne Memorial Hospital Inc

  • General Acute Care Hospital
  • Goldsboro, NC
  • NPI 1750353462
  Care Compare affiliation

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1740026483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CASTELLO WAY",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275275429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3616 CAPE CENTER DR STE A",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044456",
            "telephone_number": "910-779-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAM-SUMANA",
        "first_name": "SIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5020304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria del Pilar Salvat, CCC-SLP
• Kristen Elizabeth Salyer, PHARMD
• Lisa Ballard Salyer, RPH
• Margo Salyer
• Lenard D Salzberg, MD
• Sam'S Club Optical
• Maged Samaan, M.D.
• Mena Michael Danial Samaan, M.D.
• Nyron McKenzie Sammy, PA-C
• Akeeda Roshawn Sampson, P-LCSW

• Family Nurse Practitioner in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.