Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sylvia Yoshiko Rodriguez-Southworth, PA

Individual provider Physician Assistant · NPI 1902877087

Sylvia Yoshiko Rodriguez-Southworth, PA is a Physician Assistant in Fuquay Varina, North Carolina. Qualified in 1990, 36 years ago. Practices with North Carolina Mg LLC, a 712-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky and North Carolina.

Years since qualifying
36
Licensed in
KY, NC
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1617 N Main St Ste 101
Fuquay Varina, NC 27526-9021
Phone: (984) 215-6595
Fax: (984) 215-6596
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 333 Beacon Hill Rd, Morehead, KY 40351-6178 — (606) 780-0444

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-07305 (NC)
Physician Assistant Taxonomy 363A00000X · Licence PA123 (KY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA-123 (KY)

Record details

NPI number1902877087
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 27, 2006
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice North Carolina Mg Llc — 712 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations20 on file with Medicare

Other providers in Fuquay Varina