Dr Samuel Sparrow Pendergraft, PHD, PA-C - Medicare Physician Assistant in North Wilkesboro, NC

Dr Samuel Sparrow Pendergraft, PHD, PA-C is a medicare enrolled "Physician Assistant" in North Wilkesboro, North Carolina. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Wake Forest University Health Sciences and his current practice location is 1900 W Park Dr Ste C, North Wilkesboro, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 903-6920.

Dr Samuel Sparrow Pendergraft is licensed to practice in North Carolina (license number 0010-08261) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013492180.

Contact Information

Dr Samuel Sparrow Pendergraft, PHD, PA-C
1900 W Park Dr Ste C,
North Wilkesboro, NC 28659-3563
(336) 903-6920
(336) 903-6921

Map and Direction




Provider's Profile

Full NameDr Samuel Sparrow Pendergraft
GenderMale
SpecialityPhysician Assistant
Experience6 Years
Location1900 W Park Dr Ste C, North Wilkesboro, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Samuel Sparrow Pendergraft graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1013492180
  • Provider Enumeration Date: 09/25/2018
  • Last Update Date: 02/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8123364296
  • Enrollment ID: I20190110000569

Medical Identifiers

Medical identifiers for Dr Samuel Sparrow Pendergraft such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013492180NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 0010-08261 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wilkes Regional Medical CenterNorth wilkesboro, NCHospital
North Carolina Baptist HospitalWinston-salem, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wake Forest University Health Sciences44865649521987

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Samuel Sparrow Pendergraft is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Samuel Sparrow Pendergraft, PHD, PA-C
1900 W Park Dr Ste C,
North Wilkesboro, NC 28659-3563

Ph: (336) 903-6920
Dr Samuel Sparrow Pendergraft, PHD, PA-C
1900 W Park Dr Ste C,
North Wilkesboro, NC 28659-3563

Ph: (336) 903-6920

Reviews and Comments


Physician Assistant Nurses in North Wilkesboro, NC

Kevin Bruce George, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1917 W Park Dr, North Wilkesboro, NC 28659
Phone: 336-903-7845    Fax: 336-903-7841
Joe Gates, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 408 8th St Ste 1, North Wilkesboro, NC 28659
Phone: 336-838-4158    
Rachel Olivia Shepherd,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1370 W D St, North Wilkesboro, NC 28659
Phone: 336-651-8100    
Alexa Gregory Achor, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1917 W Park Dr, North Wilkesboro, NC 28659
Phone: 336-716-2255    
Mark Wages,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 427 Laurel Mountain Rd, North Wilkesboro, NC 28659
Phone: 336-414-3668    
Gary Glenn Nichols, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1404 Willow Ln, North Wilkesboro, NC 28659
Phone: 336-667-0335    Fax: 336-667-4434

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.