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

Sean Childress

Individual provider Physician Assistant · NPI 1639753890

Sean Childress is a Physician Assistant in Greensboro, North Carolina. Qualified in 2021, 5 years ago. Practices with Wakemed Specialists Group LLC, a 869-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
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Practice location Address checks out

3200 Northline Ave Ste 200
Greensboro, NC 27408
Phone: (336) 545-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3009 New Bern Ave, Raleigh, NC 27610-1214 — (919) 232-5020

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1639753890
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 12, 2021
Last updated in NPPESJanuary 20, 2025
Certification dateJanuary 20, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Wakemed Specialists Group Llc — 869 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Greensboro