Michael Randolph Sikes, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

100166 Issued in NC

Practice address

700 N Main St
Stanley, NC 28164-1438

Phone

(704) 263-8945

Fax

(704) 263-2591

NPI assigned

Sep 29, 2005

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Caromont Medical Group Inc

  • Family Medicine Physician
  • Gastonia, NC
  • NPI 1356314272
  Medicare reassignment
• Caromont Medical Group Inc

  • Family Medicine Physician
  • Stanley, NC
  • NPI 1245419845
  NPD
• Caromont Medical Group Inc

  • Family Medicine Physician
  • Stanley, NC
  • NPI 1972301380
  NPD

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1790772325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N MAIN ST",
            "city": "STANLEY",
            "state": "NC",
            "postal_code": "281641438",
            "telephone_number": "704-263-8945",
            "fax_number": "704-263-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N MAIN ST",
            "city": "STANLEY",
            "state": "NC",
            "postal_code": "281641438",
            "telephone_number": "704-263-8945",
            "fax_number": "704-263-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKES",
        "first_name": "MICHAEL",
        "middle_name": "RANDOLPH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "100166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sentry Drug Center 3 LLC
• Sentry Drug Center 3 LLC
• Sentry Drug Center 3, LLC
• Sentry Drug Center 3, LLC Dba Familymed Pharmacy
• Carlee Jo Seybert
• Jodie Lee Silver, D.C.
• Kimberly Dunsmore Smith, R.D.
• India Monet Springfield, LCSWA
• Stanley Total Living Center
• Stanley Total Living Center

• Physician Assistant in Stanley, NC
• Providers in Stanley, 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 Jul 7, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.