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

Sallie Lynn Staley, PA-C

Individual provider Medical Physician Assistant · NPI 1821068768

Sallie Lynn Staley, PA-C is a Physician Assistant in Mount Airy, North Carolina. Qualified in 2005, 21 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
21
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

1908 Caudle Dr Ste 200
Mount Airy, NC 27030-4322
Phone: (336) 783-6935
Fax: (336) 783-6934
Show map & directions

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

Additional practice locations (3)

  • 1913 W Park Dr, North Wilkesboro, NC 28659-3564 — (336) 903-6362
  • 1010 Bethesda Ct, Winston Salem, NC 27103-3019 — (336) 277-8800
  • Medical Center Blvd, Winston Salem, NC 27157-3564 — (336) 713-5440

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-00117 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 001000117 (NC)

Record details

NPI number1821068768
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 24, 2006
Last updated in NPPESSeptember 22, 2022
Certification dateSeptember 22, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Forsyth Memorial Hospital Inc — 623 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mount Airy