Individual provider Active NPI

Alyssa Marie Sutton, RN

  • Nurse Practitioner
  • Clemmons, NC
National Provider Identifier
1891444147
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5016573 Issued in NC
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

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RN.485616OHMDRegistered Nurse
5016573NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Sep 10, 2022 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Sep 10, 2022 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.

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.

Verify at the official NPI Registry.