Active NPI
Alyssa Marie Sutton, RN
- Nurse Practitioner
- Clemmons, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5016573
- Practice address
- 6301 Stadium Dr Ste 500
Clemmons, NC 27012-8766 - Phone
- (336) 766-6473
- Fax
- (336) 766-8909
- NPI assigned
- Mar 23, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.485616 | OH | |
| Nurse Practitioner | 363L00000X | 5016573 | NC | Primary |
Addresses
Primary practice location
6301 Stadium Dr Ste 500
Clemmons, NC 27012-8766
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (336) 766-6473
Other practice location 1
4136 Clemmons Rd
Clemmons, NC 27012-7520
Phone (336) 893-3270
Other practice location 2
4408 Liguria Ct
Summerfield, NC 27358-9358
Phone (336) 817-3706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.485616 | OH | MD | Registered Nurse |
| 5016573 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients |
Locations
4136 Clemmons Rd
Clemmons, NC 27012
Phone (336) 893-1300
6301 Stadium Dr
#500
Clemmons, NC 27012
Phone (336) 766-6473
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Organizations & group practices 3
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.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Family Medicine Physician
- Clemmons, NC
- NPI 1710547369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1891444147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "336-766-6473",
"fax_number": "336-766-8909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6301 STADIUM DR STE 500",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "270128766",
"telephone_number": "336-766-6473",
"fax_number": "336-766-8909"
}
],
"practiceLocations": [
{
"address_1": "4136 Clemmons Rd",
"address_purpose": "LOCATION",
"city": "Clemmons",
"state": "NC",
"postal_code": "270127520",
"country_code": "US",
"telephone_number": "336-893-3270",
"fax_number": "336-893-3279",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4408 Liguria Ct",
"address_purpose": "LOCATION",
"city": "Summerfield",
"state": "NC",
"postal_code": "273589358",
"country_code": "US",
"telephone_number": "336-817-3706",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUTTON",
"first_name": "ALYSSA",
"middle_name": "MARIE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-23",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.485616",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5016573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clemmons, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.