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

Laura Ann Luttio, PA

Individual provider Medical Physician Assistant · NPI 1639885106

Laura Ann Luttio, PA is a Physician Assistant in Elkin, North Carolina. Qualified in 2022, 4 years ago. Practices with Revival Pain Management Inc, a 3-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2023
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

110 Dutchman Ct
Elkin, NC 28621-2237
Phone: (336) 835-5330
Fax: (336) 835-5337
Show map & directions

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

Additional practice locations (2)

  • 905 Rockford St Lowr Level, Mount Airy, NC 27030-5323 — (336) 835-5330
  • 1909 W Park Dr, North Wilkesboro, NC 28659-3564 — (336) 835-5330

Specialties & licences

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

Record details

NPI number1639885106
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 27, 2023
Last updated in NPPESJanuary 27, 2023
Certification dateJanuary 26, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Revival Pain Management Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Elkin