Individual provider Active NPI

Andrea Dawn Stokes Underwood, DNP, FNP-C

  • Nurse Practitioner
  • Clemmons, NC
National Provider Identifier
1992019566
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5004802 Issued in NC
Practice address
3163 Gammon LN
Clemmons, NC 27012-9052
Phone
(336) 310-5571
Fax
(336) 310-5574
NPI assigned
Aug 5, 2010
Last updated
Jan 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5004802 NC Primary
Family Nurse Practitioner 363LF0000X 5004802 NC

Addresses

Primary practice location

3163 Gammon LN
Clemmons, NC 27012-9052

Mailing address

PO Box 601843
Charlotte, NC 28260-1843

Other practice location 1

101A Eldon Parks Dr
Elkin, NC 28621-2455
Phone (336) 835-2283

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
I20131017001568 NC Practitioner - Nurse Practitioner 0446484877 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Medicorp Enterprises LLCGroup PAC ID 0648174904, 184 clinicians
Forsyth Emergency Services, P.a.Group PAC ID 1153358171, 24 clinicians

Practice addresses (Care Compare)

3163 Gammon LN
Clemmons, NC 27012-9052
Phone (336) 310-5571

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 765-9328

Merit-based Incentive Payment System (MIPS)

Final score
92.52 of 100Reported as group
Quality
83.13
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5004802NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Medicorp Enterprises, LLC CurrentSince Dec 12, 2025 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Dec 12, 2025 Accepting new patients
Forsyth Emergency Services, P.a. CurrentSince Jun 9, 2024 Accepting new patients
County of Wilkes CurrentSince Jun 12, 2023 Accepting new patients

Locations

8036 Providence Rd
Ste 100
Charlotte, NC 28277
Phone (980) 301-8711

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

306 College St
Wilkesboro, NC 28697
Phone (336) 651-7450

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

600 Highland Oaks Dr
Winston Salem, NC 27103
Phone (366) 774-0040

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": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1992019566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601843",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3163 GAMMON LN",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129052",
            "telephone_number": "336-310-5571",
            "fax_number": "336-310-5574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101A Eldon Parks Dr",
            "address_purpose": "LOCATION",
            "city": "Elkin",
            "state": "NC",
            "postal_code": "286212455",
            "country_code": "US",
            "telephone_number": "336-835-2283",
            "fax_number": "336-835-1562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "ANDREA",
        "middle_name": "DAWN STOKES",
        "name_prefix": "Mrs.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-05",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5004802",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5004802",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemmons, NC

Sources for this page

Verify at the official NPI Registry.