Individual provider Active NPI

Sarah Reynolds, PA-C

  • Physician Assistant
  • Winston Salem, NC
National Provider Identifier
1992270359
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-08308 Issued in NC
Practice address
145 Kimel Park Dr Ste 330
Winston Salem, NC 27103-6972
Phone
(336) 765-6181
NPI assigned
Oct 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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 0010-08308 NC Primary

Addresses

Primary practice location

145 Kimel Park Dr Ste 330
Winston Salem, NC 27103-6972

Mailing address

145 Kimel Park Dr
Ste 330
Winston Salem, NC 27103-6972
Phone (336) 765-6181

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sreynolds679606@direct.novanthealth.org

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
I20181127002508 NC Practitioner - Physician Assistant 8729322045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Pain Institute, PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sreynolds679606@direct.novanthealth.org

Organizations & group practices 1

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": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1992270359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 KIMEL PARK DR",
            "address_2": "STE 330",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036972",
            "telephone_number": "336-765-6181",
            "fax_number": "336-765-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 KIMEL PARK DR STE 330",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036972",
            "telephone_number": "336-765-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "SARAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-08308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sreynolds679606@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "145 Kimel Park Dr Ste 330",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271036972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.