Individual provider Active NPI

Olyvia Danielle Ford, PA-C

  • Physician Assistant
  • Sunbury, OH
National Provider Identifier
1861134280
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.010409RX Issued in OH
Practice address
801 W Cherry St
Sunbury, OH 43074-3575
Phone
(614) 685-2805
Fax
(614) 366-3562
NPI assigned
Apr 7, 2022
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.010409RX OH Primary

Addresses

Primary practice location

801 W Cherry St
Sunbury, OH 43074-3575

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 685-2805

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
I20221029000270 NC Practitioner - Physician Assistant 6800263120 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Afc Urgent Care and Family Care of WNC PLLCGroup PAC ID 2567713332, 75 clinicians

Practice addresses (Care Compare)

10102 Johnston Rd
Charlotte, NC 28210-8203
Phone (704) 247-6578

14221 Boren St
Huntersville, NC 28078-6507
Phone (980) 306-5911

16704 Hawfield Way Dr
Charlotte, NC 28277-6132
Phone (704) 337-0221

1908 E Franklin Blvd
Suite 100
Gastonia, NC 28054-4742
Phone (704) 271-1215

295 Williamson Rd
Suite a
Mooresville, NC 28117-8269
Phone (980) 444-2003

4128 Monroe Rd
Charlotte, NC 28205-7708
Phone (704) 337-0133

440 Tyvola Rd
Charlotte, NC 28217-3560
Phone (704) 228-1784

955 2ND St NE
Hickory, NC 28601-3840
Phone (423) 476-5990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.010409RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cabarrus Rowan Community Health Centers, Inc. CurrentSince Oct 10, 2022 Accepting new patients
Cabarrus Rowan Community Health Centers, Inc. CurrentSince Oct 10, 2022 Accepting new patients

Locations

202D McGill Ave NW
Concord, NC 28025
Phone (704) 792-2242

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1861134280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-685-2805",
            "fax_number": "614-366-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W CHERRY ST",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430743575",
            "telephone_number": "614-685-2805",
            "fax_number": "614-366-3562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "OLYVIA",
        "middle_name": "DANIELLE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.010409RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunbury, OH

Sources for this page

Verify at the official NPI Registry.