Individual provider Active NPI

Lili Jie Sun, M.D.

  • Internal Medicine Physician
  • Graham, NC
National Provider Identifier
1891149860
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2023-02498 Issued in NC
Practice address
215 College St
Graham, NC 27253-2206
Phone
(336) 228-8394
NPI assigned
Apr 15, 2016
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2023-02498 NC Primary

Addresses

Primary practice location

215 College St
Graham, NC 27253-2206

Mailing address

215 College St
Graham, NC 27253-2206
Phone (336) 228-8394

Other practice location 1

104 New College St
Oxford, NC 27565-2929
Phone (980) 231-5261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191104003108 WV Practitioner - Internal Medicine 2062758972 Reassigns benefits to 1 organization
I20240304004067 NC Practitioner - Internal Medicine 2062758972 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2023-02498NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Complexcare Medical Group Mid-Atlantic H PLLC Internal Medicine CurrentSince Dec 8, 2025 Accepting new patients
Theoria Medical Internal Medicine CurrentSince Feb 4, 2024 Accepting new patients
St Mary's Hospitalist Services, LLC Internal Medicine CurrentSince Oct 1, 2019 Accepting new patients
Theoria Medical Internal Medicine Past Accepting new patients
Peak Resources-Alamance, Inc. Past Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

411 S Lasalle St
Durham, NC 27705
Phone (919) 383-5521

215 College St
Graham, NC 27253
Phone (336) 228-8394

430 W Health Center Dr
Nags Head, NC 27959
Phone (252) 441-3116

2900 1st Ave
Rm 1025
Huntington, WV 25702
Phone (304) 399-7484

3075 US Route 60
Huntington, WV 25705
Phone (304) 733-0004

Organizations & group practices 5

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": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1891149860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 COLLEGE ST",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272532206",
            "telephone_number": "336-228-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 COLLEGE ST",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272532206",
            "telephone_number": "336-228-8394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 New College St",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "NC",
            "postal_code": "275652929",
            "country_code": "US",
            "telephone_number": "980-231-5261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUN",
        "first_name": "LILI",
        "middle_name": "JIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-15",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2023-02498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Graham, NC

Sources for this page

Verify at the official NPI Registry.