Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crystal Sowder Rose, PA-C

Individual provider Medical Physician Assistant · NPI 1215983044

Crystal Sowder Rose, PA-C is a Physician Assistant in Winston Salem, North Carolina. Qualified in 2003, 23 years ago. Practices with Forsyth Memorial Hospital Inc, a 623-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
23
Licensed in
NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1901 S Hawthorne Rd Ste 220
Winston Salem, NC 27103
Phone: (336) 718-6777
Fax: (336) 718-6773
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 280 Broad St Ste A, Kernersville, NC 27284 — (336) 515-7060
  • 1471 Jag Branch Blvd Unit 105, Kernersville, NC 27284-6963 — (336) 277-6430
  • 1492 Rymco Dr, Winston Salem, NC 27103-2944 — (336) 765-5553

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 103916 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 103916 (NC)

Record details

NPI number1215983044
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 25, 2006
Last updated in NPPESJuly 24, 2024
Certification dateJuly 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Forsyth Memorial Hospital Inc — 623 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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