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

John Rolland Laisure, PA-C

Individual provider Physician Assistant · NPI 1174963359

John Rolland Laisure, PA-C is a Physician Assistant in Winston Salem, North Carolina. Graduated from Wake Forest University School of Medicine in 2012, 14 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
14
Trained at
Wake Forest University School of Medicine
Licensed in
NC
In the registry since
2013
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 Partly verified

Some contact details are missing from the federal record.

Medical Center Blvd
Winston Salem, NC 27157-5846
Phone: (336) 713-4500
Fax: (336) 713-4501
Show map & directions

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

Additional practice locations (1)

  • 2010 Baldwin Ln, Winston Salem, NC 27103-5846 — (336) 277-1717

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-04044 (NC)

Record details

NPI number1174963359
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 2, 2013
Last updated in NPPESJanuary 5, 2022
Certification dateJanuary 5, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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