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

Dr. Samuel Sparrow Pendergraft, PHD, PA-C

Individual provider Physician Assistant · NPI 1013492180

Dr. Samuel Sparrow Pendergraft, PHD, PA-C is a Physician Assistant in North Wilkesboro, North Carolina. Qualified in 2018, 8 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
8
Licensed in
NC
In the registry since
2018
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1900 W Park Dr Ste C
North Wilkesboro, NC 28659-3563
Phone: (336) 903-6920
Fax: (336) 903-6921
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-08261 (NC)

Record details

NPI number1013492180
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , PA-C
Sole proprietorNo
NPI enumeratedSeptember 25, 2018
Last updated in NPPESFebruary 8, 2022
Certification dateFebruary 8, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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