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

Javius Pettiford

Individual provider Family Nurse Practitioner · NPI 1558221978

Javius Pettiford is a Family Nurse Practitioner in Randleman, North Carolina. Licensed in North Carolina. Registered with an NPI since 2025.

Licensed in
NC
In the registry since
2025

Practice location Address checks out

608 W Academy St
Randleman, NC 27317-9748
Phone: (336) 495-1001
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5023290 (NC)

Record details

NPI number1558221978
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 17, 2025
Last updated in NPPESJanuary 7, 2026
Certification dateJanuary 7, 2026
Mailing address4449 Baylor St, Greensboro, NC 27455-2565

Other providers in Randleman