Organization Active NPI

Sunrise Clinical Associates, PLLC

  • Community/Behavioral Health Agency
  • Durham, NC
National Provider Identifier
1811291115
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SUNRISE CLINICAL ASSOCIATES, PLLC
Practice address
3925 N Duke St Ste 103
Durham, NC 27704-1780
Phone
(919) 493-5013
Fax
(919) 493-5026
NPI assigned
Dec 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Anya Onuoha Odim
Title
Owner/Ceo
Phone
(919) 451-6337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NC Primary

Addresses

Primary practice location

3925 N Duke St Ste 103
Durham, NC 27704-1780

Mailing address

3925 N Duke St Ste 103
Durham, NC 27704-1780
Phone (919) 493-5013

Other practice location 1

3500 Westgate Dr Ste 604
Durham, NC 27707-2534
Phone (919) 493-5013

Other identifiers 1

IdentifierTypeStateIssuer
3410109MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200806002792 NC Part B Supplier - Clinic/Group Practice 6608291729 Receives reassigned benefits from 1 practitioner
Practice locations: Durham, NC

National Provider Directory

National Provider Directory
Tax ID family
Sunrise Clinical Associates PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3925 N Duke St
Ste 103
Durham, NC 27704

708 Hartness Rd
Ste 708
Statesville, NC 28677
Phone (919) 493-5013

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1811291115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 N DUKE ST STE 103",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041780",
            "telephone_number": "919-493-5013",
            "fax_number": "919-493-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 N DUKE ST STE 103",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041780",
            "telephone_number": "919-493-5013",
            "fax_number": "919-493-5026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 Westgate Dr Ste 604",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277072534",
            "country_code": "US",
            "telephone_number": "919-493-5013",
            "fax_number": "919-493-5026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUNRISE CLINICAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-29",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "ODIM",
        "authorized_official_first_name": "ANYA",
        "authorized_official_middle_name": "ONUOHA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "919-451-6337"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3410109",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.