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Export Provider Record NPI 1013915388
Sonya Simmons BullockPA-C
Active
NPI Number1013915388
NPI TypeNPI-1 Individual
SpecialtyPhysician Assistant
Provider Details
NPI1013915388
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2005-07-12
Last Updated2022-03-03
Mailing Address1700 Tarboro Street Sw Ste 103
Wilson, NC 27893
United States
Phone: (252) 308-0686
📍 View Map
Primary Practice Address6321 Deans Street Bailey Primary Care
Bailey, NC 27807
United States
Phone: (252) 235-4181 | Fax: (252) 308-0872
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No363AM0700X – Physician Assistant, MedicalNC104090
Yes363A00000X – Physician AssistantNC104090
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About NPI 1013915388

Sonya Simmons Bullock PA-C is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1013915388. The primary specialty listed is Physician Assistant. The provider is located in Bailey, NC. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-07-12. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1013915388?

NPI 1013915388 belongs to Sonya Simmons Bullock PA-C, a Physician Assistant in Bailey, NC. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1013915388 active?

The current status of NPI 1013915388 in the NPPES registry is Active. The record was last updated on 2022-03-03.

What specialty is NPI 1013915388?

NPI 1013915388 is classified under the taxonomy Physician Assistant. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1013915388?

You can verify NPI 1013915388 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1013915388?

The primary practice address on file for NPI 1013915388 is 6321 Deans Street Bailey Primary Care, Bailey, NC 27807. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1013915388 issued?

NPI 1013915388 was first issued (enumerated) on 2005-07-12. The NPPES record was last updated on 2022-03-03.

Practice Location Map

Sonya Simmons Bullock is located at 6321 Deans Street Bailey Primary Care, Bailey, NC. Use the map below to find directions or verify the practice location.

📍 6321 Deans Street Bailey Primary Care, Bailey, NC 27807  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Sonya Simmons Bullock. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1013915388. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Physician Assistant, Medical104090NC
Physician Assistant104090NC
Data Verified from CMS NPPES Last synced: 2026-06-07 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162